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Packagehl7.fhir.cz.terminology
Resource TypeBundle
Idvalidation-oo.json
FHIR VersionR4

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Source1

{
  "resourceType": "Bundle",
  "type": "collection",
  "timestamp": "2025-12-23T17:18:39.061+00:00",
  "entry": [
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/ImplementationGuide-hl7.fhir.cz.terminology",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ImplementationGuide-hl7.fhir.cz.terminology",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9491
              },
              {
                "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": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/tools/StructureDefinition/expansion-parameters'"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.cz.terminology: ImplementationGuide.definition.extension[40].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2063
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "IG_DEPENDENCY_VERSION_WARNING_OLD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The ImplementationGuide uses package hl7.fhir.uv.ips#1.1.0 released on 2022-11-22, but the most recent appropriate version is 2.0.0. This reference is getting old and the more recent version should be considered"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.cz.terminology: ImplementationGuide.dependsOn[2]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/CodeSystem-absent-unknown-uv-ips-cz",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-absent-unknown-uv-ips-cz"
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/CodeSystem-administrative-gender-cz",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-administrative-gender-cz",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
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              },
              {
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                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/administrative-gender-cz: CodeSystem.concept[0].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/administrative-gender-cz: CodeSystem.concept[1].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/administrative-gender-cz: CodeSystem.concept[2].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3101
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/administrative-gender-cz: CodeSystem.concept[3].designation[0].use"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/CodeSystem-allergy-intolerance-category-cz",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-allergy-intolerance-category-cz",
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          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/allergy-intolerance-category-cz: CodeSystem.concept[0].designation[0].use"
            ]
          },
          {
            "extension": [
              {
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                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
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              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
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            "extension": [
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            "code": "code-invalid",
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              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/allergy-intolerance-category-cz: CodeSystem.concept[1].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/allergy-intolerance-category-cz: CodeSystem.concept[2].designation[0].use"
            ]
          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
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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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                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/allergy-intolerance-category-cz: CodeSystem.concept[3].designation[0].use"
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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",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/allergy-intolerance-category-cz: CodeSystem.concept[3].designation[1].use"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/CodeSystem-allergy-intolerance-criticality-cz",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-allergy-intolerance-criticality-cz",
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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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/allergy-intolerance-criticality-cz: CodeSystem.concept[0].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3299
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/allergy-intolerance-criticality-cz: CodeSystem.concept[0].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/allergy-intolerance-criticality-cz: CodeSystem.concept[1].designation[0].use"
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          },
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/allergy-intolerance-criticality-cz: CodeSystem.concept[1].designation[1].use"
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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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                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
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            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/allergy-intolerance-criticality-cz: CodeSystem.concept[2].designation[0].use"
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/allergy-intolerance-criticality-cz: CodeSystem.concept[2].designation[1].use"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/CodeSystem-coverage-selfpay-cz",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-coverage-selfpay-cz",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2016
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/coverage-selfpay-cz: CodeSystem.concept[0].designation[0].use"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/CodeSystem-dlp-atc",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-dlp-atc"
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/CodeSystem-dlp-formy",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-dlp-formy"
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/CodeSystem-dlp-lecivelatky",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-dlp-lecivelatky"
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/CodeSystem-dlp-lecivepripravky",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-dlp-lecivepripravky"
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/CodeSystem-drzar",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-drzar"
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/CodeSystem-healthInsuranceCompanyCode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-healthInsuranceCompanyCode"
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/CodeSystem-mkn-10",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-mkn-10"
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/CodeSystem-nclp-NCLPMAT",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-nclp-NCLPMAT"
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/CodeSystem-nrzp-povolani",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-nrzp-povolani"
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    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/CodeSystem-v2-0131-cz",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v2-0131-cz",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4066
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v2-0131-cz: CodeSystem.concept[0].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4137
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v2-0131-cz: CodeSystem.concept[0].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4295
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v2-0131-cz: CodeSystem.concept[1].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4357
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v2-0131-cz: CodeSystem.concept[1].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4510
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v2-0131-cz: CodeSystem.concept[2].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4578
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v2-0131-cz: CodeSystem.concept[2].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4785
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v2-0131-cz: CodeSystem.concept[3].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4856
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v2-0131-cz: CodeSystem.concept[3].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5004
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v2-0131-cz: CodeSystem.concept[4].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5069
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v2-0131-cz: CodeSystem.concept[4].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5209
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v2-0131-cz: CodeSystem.concept[5].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5268
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v2-0131-cz: CodeSystem.concept[5].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5412
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v2-0131-cz: CodeSystem.concept[6].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5478
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v2-0131-cz: CodeSystem.concept[6].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5619
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v2-0131-cz: CodeSystem.concept[7].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5680
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v2-0131-cz: CodeSystem.concept[7].designation[1].use"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/CodeSystem-v3-ActCode-cz",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-ActCode-cz",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9121
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-ActCode-cz: CodeSystem.concept[0].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10260
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-ActCode-cz: CodeSystem.concept[0].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13610
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/CodeSystem#csd-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: csd-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation (name.matches('[A-Z]([A-Za-z0-9_]){0,254}'))'"
            },
            "expression": [
              "CodeSystem/v3-ActCode-cz: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13610
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/v3-ActCode-cz: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/CodeSystem-v3-NullFlavor-cz",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-NullFlavor-cz",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16082
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor-cz: CodeSystem.concept[0].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16214
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor-cz: CodeSystem.concept[0].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16631
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor-cz: CodeSystem.concept[1].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16886
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor-cz: CodeSystem.concept[1].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17203
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor-cz: CodeSystem.concept[2].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17412
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor-cz: CodeSystem.concept[2].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18103
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor-cz: CodeSystem.concept[3].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18658
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor-cz: CodeSystem.concept[3].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18964
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor-cz: CodeSystem.concept[4].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19089
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor-cz: CodeSystem.concept[4].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19389
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor-cz: CodeSystem.concept[5].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19509
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor-cz: CodeSystem.concept[5].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19831
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor-cz: CodeSystem.concept[6].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19978
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor-cz: CodeSystem.concept[6].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20368
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor-cz: CodeSystem.concept[7].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20551
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor-cz: CodeSystem.concept[7].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21013
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor-cz: CodeSystem.concept[8].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21311
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor-cz: CodeSystem.concept[8].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21539
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor-cz: CodeSystem.concept[9].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21622
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor-cz: CodeSystem.concept[9].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22107
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor-cz: CodeSystem.concept[10].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22393
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor-cz: CodeSystem.concept[10].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23140
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor-cz: CodeSystem.concept[11].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 24001
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor-cz: CodeSystem.concept[11].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 24259
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor-cz: CodeSystem.concept[12].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 24342
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor-cz: CodeSystem.concept[12].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 24862
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor-cz: CodeSystem.concept[13].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25224
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor-cz: CodeSystem.concept[13].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25532
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor-cz: CodeSystem.concept[14].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25651
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor-cz: CodeSystem.concept[14].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 26579
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor-cz: CodeSystem.concept[15].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 27398
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor-cz: CodeSystem.concept[15].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28338
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor-cz: CodeSystem.concept[16].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 29116
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-NullFlavor-cz: CodeSystem.concept[16].designation[1].use"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/CodeSystem-v3-RoleCode-cz",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-v3-RoleCode-cz",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 34805
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[0].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 34935
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[0].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 35182
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[1].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 35331
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[1].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 35662
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[2].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 35902
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[2].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 36116
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[3].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 36226
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[3].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 36567
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[4].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 36761
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[4].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 37142
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[5].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 37357
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[5].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 37599
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[6].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 37716
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[6].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 38041
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[7].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 38252
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[7].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 38480
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[8].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 38610
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[8].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 39019
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[9].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 39220
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[9].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 39528
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[10].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 39680
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[10].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 40076
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[11].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 40298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[11].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 40568
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[12].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 40681
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[12].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 40968
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[13].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 41117
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[13].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 41521
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[14].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 41748
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[14].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42044
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[15].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42178
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[15].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42470
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[16].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42614
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[16].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42895
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[17].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 43042
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[17].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 43284
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[18].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 43415
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[18].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 43660
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[19].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 43787
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[19].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44036
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[20].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44163
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[20].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44415
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[21].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44540
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[21].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44777
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[22].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44909
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[22].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 45144
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[23].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 45276
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[23].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 45527
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[24].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 45655
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[24].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 45881
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[25].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 46012
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[25].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 46243
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[26].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 46369
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[26].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 46608
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[27].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 46738
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[27].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 46977
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[28].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 47110
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[28].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 47400
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[29].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 47548
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[29].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 47807
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[30].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 47977
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[30].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48222
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[31].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48353
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[31].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48658
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[32].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48789
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[32].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 49094
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[33].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 49212
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[33].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 49458
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[34].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 49596
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[34].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 49828
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[35].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 50015
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[35].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 50241
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[36].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 50433
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[36].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 50725
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[37].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 50910
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[37].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 51133
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[38].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 51293
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[38].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 51572
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[39].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 51734
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[39].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 51973
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[40].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 52100
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[40].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 52351
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[41].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 52453
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[41].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 52728
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[42].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 52866
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[42].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 53255
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[43].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 53495
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[43].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 53792
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[44].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 53987
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[44].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 54244
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[45].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 54395
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[45].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 54743
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[46].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 54978
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[46].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 55386
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[47].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 55621
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[47].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 55905
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[48].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 56033
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[48].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 56435
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[49].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 56634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[49].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 56933
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[50].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 57083
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[50].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 57453
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[51].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 57673
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[51].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 57934
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[52].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 58055
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[52].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 58306
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[53].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 58427
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[53].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 58686
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[54].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 58825
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[54].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 59096
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[55].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 59238
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[55].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 59552
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[56].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 59689
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[56].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 59954
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[57].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 60085
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[57].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 60319
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[58].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 60452
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[58].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 60691
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[59].designation[0].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 60783
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[59].designation[1].use"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61068
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TERMINOLOGY_TX_SYSTEM_NO_CODE"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "A code with no system has no defined meaning, and it cannot be validated. A system should be provided"
            },
            "expression": [
              "CodeSystem/v3-RoleCode-cz: CodeSystem.concept[60].designation[0].use"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/ValueSet-AllergenWithExceptions",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-AllergenWithExceptions",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "error",
            "code": "exception",
            "details": {
              "text": "Unable to expand included value set 'https://sukl.cz/terminology/ValueSet/dlp-lecivepripravky': Unable to expand imported value set: Error from https://tx.fhir.org/r4: A definition for CodeSystem 'https://sukl.cz/terminology/CodeSystem/dlp-lecivepripravky' could not be found, so the value set cannot be expanded (and Error from https://tx.fhir.org/r4: A definition for CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/11000279109' could not be found, so the value set cannot be expanded. Valid versions: http://snomed.info/sct/11000146104/version/20240930,http://snomed.info/sct/11000172109/version/20231115,http://snomed.info/sct/2011000195101/version/20230607,http://snomed.info/sct/32506021000036107/version/20230731,http://snomed.info/sct/449081005/version/20250510,http://snomed.info/sct/45991000052106/version/20220531,http://snomed.info/sct/45991000052106/version/20231130,http://snomed.info/sct/554471000005108/version/20250930,http://snomed.info/sct/731000124108/version/20250901,http://snomed.info/sct/827022005/version/20241216,http://snomed.info/sct/83821000000107/version/20230412,http://snomed.info/sct/900000000000207008/version/20240201,http://snomed.info/sct/900000000000207008/version/20240801,http://snomed.info/sct/900000000000207008/version/20250201,http://snomed.info/xsct/900000000000207008/version/20250814)"
            },
            "expression": [
              "ValueSet.where(id = 'AllergenWithExceptions')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/ValueSet-MedicalDeviceWithExceptions",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-MedicalDeviceWithExceptions",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2168
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_STATUS_INCONSISTENT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The resource status 'active' and the standards status 'draft' are not consistent"
            },
            "expression": [
              "ValueSet/MedicalDeviceWithExceptions: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "error",
            "code": "exception",
            "details": {
              "text": "Unable to expand included value set 'https://ncez.mzcr.cz/terminology/ValueSet/eHDSIAbsentOrUnknownDevice-cz': Required supplement not found: https://ncez.mzcr.cz/terminology/CodeSystem/absent-unknown-uv-ips-cz (and Error from https://tx.fhir.org/r4: A definition for CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/11000279109' could not be found, so the value set cannot be expanded. Valid versions: http://snomed.info/sct/11000146104/version/20240930,http://snomed.info/sct/11000172109/version/20231115,http://snomed.info/sct/2011000195101/version/20230607,http://snomed.info/sct/32506021000036107/version/20230731,http://snomed.info/sct/449081005/version/20250510,http://snomed.info/sct/45991000052106/version/20220531,http://snomed.info/sct/45991000052106/version/20231130,http://snomed.info/sct/554471000005108/version/20250930,http://snomed.info/sct/731000124108/version/20250901,http://snomed.info/sct/827022005/version/20241216,http://snomed.info/sct/83821000000107/version/20230412,http://snomed.info/sct/900000000000207008/version/20240201,http://snomed.info/sct/900000000000207008/version/20240801,http://snomed.info/sct/900000000000207008/version/20250201,http://snomed.info/xsct/900000000000207008/version/20250814)"
            },
            "expression": [
              "ValueSet.where(id = 'MedicalDeviceWithExceptions')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/ValueSet-OP-NS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-OP-NS"
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/ValueSet-administrative-gender-cz",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-administrative-gender-cz"
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/ValueSet-allergy-intolerance-category-cz",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-allergy-intolerance-category-cz"
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/ValueSet-allergy-intolerance-criticality-cz",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-allergy-intolerance-criticality-cz"
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/ValueSet-condition-cz",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-condition-cz",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2383
              },
              {
                "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 'http://www.orpha.net'"
            },
            "expression": [
              "ValueSet/condition-cz: ValueSet.compose.include[1].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "error",
            "code": "exception",
            "details": {
              "text": "Error from https://tx.fhir.org/r4: A definition for CodeSystem 'https://uzis.cz/terminology/CodeSystem/mkn-10' could not be found, so the value set cannot be expanded"
            },
            "expression": [
              "ValueSet.where(id = 'condition-cz')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/ValueSet-contact-and-relationship-cz",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-contact-and-relationship-cz"
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/ValueSet-contactrole-cz",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-contactrole-cz"
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/ValueSet-cz-coverage-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-cz-coverage-type"
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/ValueSet-cz-logo-mime-types",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-cz-logo-mime-types"
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/ValueSet-cz-sitequalifier",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-cz-sitequalifier"
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/ValueSet-cz-specimen-laterality",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-cz-specimen-laterality"
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/ValueSet-cz-specimenAdditive",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-cz-specimenAdditive"
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/ValueSet-cz-specimencontainer",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-cz-specimencontainer"
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/ValueSet-dlp-atc",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-dlp-atc"
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/ValueSet-dlp-formy",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-dlp-formy"
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/ValueSet-dlp-lecivelatky",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-dlp-lecivelatky",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "error",
            "code": "exception",
            "details": {
              "text": "Error from https://tx.fhir.org/r4: A definition for CodeSystem 'https://sukl.cz/terminology/CodeSystem/dlp-lecivelatky' could not be found, so the value set cannot be expanded"
            },
            "expression": [
              "ValueSet.where(id = 'dlp-lecivelatky')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/ValueSet-dlp-lecivepripravky",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-dlp-lecivepripravky",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "error",
            "code": "exception",
            "details": {
              "text": "Error from https://tx.fhir.org/r4: A definition for CodeSystem 'https://sukl.cz/terminology/CodeSystem/dlp-lecivepripravky' could not be found, so the value set cannot be expanded"
            },
            "expression": [
              "ValueSet.where(id = 'dlp-lecivepripravky')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/ValueSet-document-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-document-category"
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/ValueSet-drzar",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-drzar"
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/ValueSet-eHDSIAbsentOrUnknownAllergy-cz",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-eHDSIAbsentOrUnknownAllergy-cz"
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/ValueSet-eHDSIAbsentOrUnknownDevice-cz",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-eHDSIAbsentOrUnknownDevice-cz"
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/ValueSet-eHDSIAllergenNoDrug-cz",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-eHDSIAllergenNoDrug-cz",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 68750
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_STATUS_INCONSISTENT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The resource status 'active' and the standards status 'draft' are not consistent"
            },
            "expression": [
              "ValueSet/eHDSIAllergenNoDrug-cz: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/ValueSet-eHDSIExceptionalValue-cz",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-eHDSIExceptionalValue-cz",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4623
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_STATUS_INCONSISTENT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The resource status 'active' and the standards status 'draft' are not consistent"
            },
            "expression": [
              "ValueSet/eHDSIExceptionalValue-cz: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/ValueSet-healthInsuranceCompanyCode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-healthInsuranceCompanyCode"
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/ValueSet-imaging-document-types",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-imaging-document-types"
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/ValueSet-lab-document-types",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-lab-document-types"
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/ValueSet-lab-specimenType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-lab-specimenType"
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/ValueSet-medical-device",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-medical-device",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2005
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_STATUS_INCONSISTENT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The resource status 'active' and the standards status 'draft' are not consistent"
            },
            "expression": [
              "ValueSet/medical-device: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/ValueSet-medical-document-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-medical-document-type"
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/ValueSet-mkn-10",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-mkn-10",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "error",
            "code": "exception",
            "details": {
              "text": "Error from https://tx.fhir.org/r4: A definition for CodeSystem 'https://uzis.cz/terminology/CodeSystem/mkn-10' could not be found, so the value set cannot be expanded"
            },
            "expression": [
              "ValueSet.where(id = 'mkn-10')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/ValueSet-nclpmat",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-nclpmat"
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/ValueSet-nrzp-povolani-vs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-nrzp-povolani-vs"
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/ValueSet-nursing-document-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-nursing-document-type"
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/ValueSet-passport-NS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-passport-NS"
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/ValueSet-personal-relationship-cz",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-personal-relationship-cz"
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/ValueSet-referralorder-types",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-referralorder-types"
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/ValueSet-registering-provider-service-type-cz",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-registering-provider-service-type-cz"
      }
    },
    {
      "fullUrl": "https://hl7.cz/terminology/OperationOutcome/ValueSet-search-document-types",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-search-document-types"
      }
    }
  ]
}