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FHIR IG analytics

Packagehl7.fhir.us.bfdr
Resource TypeBundle
Idvalidation-oo.json
FHIR VersionR4

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Source1

{
  "resourceType": "Bundle",
  "type": "collection",
  "timestamp": "2025-08-06T14:36:05.146+00:00",
  "entry": [
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/ImplementationGuide-hl7.fhir.us.bfdr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ImplementationGuide-hl7.fhir.us.bfdr",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2416
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://fhir.org/packages/us.cdc.phinvads/ImplementationGuide/us.cdc.phinvads'"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.us.bfdr: ImplementationGuide.dependsOn[4].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 179635
              },
              {
                "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": [
              "ImplementationGuide/hl7.fhir.us.bfdr: ImplementationGuide"
            ]
          },
          {
            "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": "IG_DEPENDENCY_VERSION_WARNING_OLD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The ImplementationGuide uses package hl7.fhir.us.core#5.0.1 released on 2022-06-22, but the most recent appropriate version is 8.0.0. This reference is getting old and the more recent version should be considered"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.us.bfdr: ImplementationGuide.dependsOn[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2466
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "IG_DEPENDENCY_INVALID_URL"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The canonical URL http://fhir.org/packages/us.cdc.phinvads/ImplementationGuide/us.cdc.phinvads doesn't point to an actual ImplementationGuide resource"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.us.bfdr: ImplementationGuide.dependsOn[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 179635
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "IG_HL7_FMM_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Implementation Guides should state their maturity explicitly using the extension http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.us.bfdr: ImplementationGuide"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Bundle-bundle-coded-cause-of-fetal-death-not-named",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Bundle-bundle-coded-cause-of-fetal-death-not-named",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 78
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-coded-cause-of-fetal-death-not-named: Bundle.entry[1].resource/*Observation/observation-coded-initiating-fetal-death-cause-or-condition*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 78
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/bundle-coded-cause-of-fetal-death-not-named: Bundle.entry[1].resource/*Observation/observation-coded-initiating-fetal-death-cause-or-condition*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 112
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-coded-cause-of-fetal-death-not-named: Bundle.entry[2].resource/*Observation/observation-coded-other-fetal-death-cause-or-condition-not-named*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 112
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/bundle-coded-cause-of-fetal-death-not-named: Bundle.entry[2].resource/*Observation/observation-coded-other-fetal-death-cause-or-condition-not-named*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 78
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-coded-cause-of-fetal-death-not-named: Bundle.entry[1].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 78
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/bundle-coded-cause-of-fetal-death-not-named: Bundle.entry[1].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 112
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-coded-cause-of-fetal-death-not-named: Bundle.entry[2].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 112
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/bundle-coded-cause-of-fetal-death-not-named: Bundle.entry[2].resource"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Bundle-bundle-coded-industry-occupation-baby-g-quinn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Bundle-bundle-coded-industry-occupation-baby-g-quinn",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 91
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-coded-industry-occupation-baby-g-quinn: Bundle.entry[1].resource/*Observation/observation-present-job-jada-ann-quinn-coded*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 121
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.114222.4.11.8068' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-coded-industry-occupation-baby-g-quinn: Bundle.entry[1].resource/*Observation/observation-present-job-jada-ann-quinn-coded*/.value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 132
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.114222.4.11.8067' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-coded-industry-occupation-baby-g-quinn: Bundle.entry[1].resource/*Observation/observation-present-job-jada-ann-quinn-coded*/.component[0].value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 121
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.114222.4.11.8068' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-coded-industry-occupation-baby-g-quinn: Bundle.entry[1].resource.value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 132
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.114222.4.11.8067' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-coded-industry-occupation-baby-g-quinn: Bundle.entry[1].resource.component[0].value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 167
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-coded-industry-occupation-baby-g-quinn: Bundle.entry[2].resource/*Observation/observation-present-job-james-brandon-quinn-coded*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 200
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.114222.4.11.8068' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-coded-industry-occupation-baby-g-quinn: Bundle.entry[2].resource/*Observation/observation-present-job-james-brandon-quinn-coded*/.value.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 211
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.114222.4.11.8067' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-coded-industry-occupation-baby-g-quinn: Bundle.entry[2].resource/*Observation/observation-present-job-james-brandon-quinn-coded*/.component[0].value.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 200
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.114222.4.11.8068' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-coded-industry-occupation-baby-g-quinn: Bundle.entry[2].resource.value.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 211
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.114222.4.11.8067' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-coded-industry-occupation-baby-g-quinn: Bundle.entry[2].resource.component[0].value.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 91
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-coded-industry-occupation-baby-g-quinn: Bundle.entry[1].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 167
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-coded-industry-occupation-baby-g-quinn: Bundle.entry[2].resource"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Bundle-bundle-coded-race-and-ethnicity-baby-g-quinn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Bundle-bundle-coded-race-and-ethnicity-baby-g-quinn",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 97
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-coded-race-and-ethnicity-baby-g-quinn: Bundle.entry[1].resource/*Observation/observation-input-race-and-ethnicity-mother*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 97
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/bundle-coded-race-and-ethnicity-baby-g-quinn: Bundle.entry[1].resource/*Observation/observation-input-race-and-ethnicity-mother*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 386
              },
              {
                "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": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-coded-race-and-ethnicity-baby-g-quinn: Bundle.entry[2].resource/*Observation/observation-input-race-and-ethnicity-father*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 386
              },
              {
                "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": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/bundle-coded-race-and-ethnicity-baby-g-quinn: Bundle.entry[2].resource/*Observation/observation-input-race-and-ethnicity-father*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 675
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-coded-race-and-ethnicity-baby-g-quinn: Bundle.entry[3].resource/*Observation/observation-coded-race-and-ethnicity-mother*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 675
              },
              {
                "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": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/bundle-coded-race-and-ethnicity-baby-g-quinn: Bundle.entry[3].resource/*Observation/observation-coded-race-and-ethnicity-mother*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 796
              },
              {
                "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": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-coded-race-and-ethnicity-baby-g-quinn: Bundle.entry[4].resource/*Observation/observation-coded-race-and-ethnicity-father*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 796
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/bundle-coded-race-and-ethnicity-baby-g-quinn: Bundle.entry[4].resource/*Observation/observation-coded-race-and-ethnicity-father*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 97
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-coded-race-and-ethnicity-baby-g-quinn: Bundle.entry[1].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 97
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/bundle-coded-race-and-ethnicity-baby-g-quinn: Bundle.entry[1].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 386
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-coded-race-and-ethnicity-baby-g-quinn: Bundle.entry[2].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 386
              },
              {
                "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": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/bundle-coded-race-and-ethnicity-baby-g-quinn: Bundle.entry[2].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 675
              },
              {
                "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": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-coded-race-and-ethnicity-baby-g-quinn: Bundle.entry[3].resource"
            ]
          },
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/bundle-coded-race-and-ethnicity-baby-g-quinn: Bundle.entry[3].resource"
            ]
          },
          {
            "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": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-coded-race-and-ethnicity-baby-g-quinn: Bundle.entry[4].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/bundle-coded-race-and-ethnicity-baby-g-quinn: Bundle.entry[4].resource"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Bundle-bundle-jurisdiction-fetal-death-not-named",
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        "resourceType": "OperationOutcome",
        "id": "Bundle-bundle-jurisdiction-fetal-death-not-named",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hospital.smarthealthit.org'"
            },
            "expression": [
              "Bundle/bundle-jurisdiction-fetal-death-not-named: Bundle.entry[1].resource/*Patient/patient-decedent-fetus-not-named*/.identifier[0].system"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hospital.smarthealthit.org'"
            },
            "expression": [
              "Bundle/bundle-jurisdiction-fetal-death-not-named: Bundle.entry[2].resource/*Encounter/encounter-maternity-carmen-teresa-lee*/.identifier[0].system"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 517
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hospital.smarthealthit.org'"
            },
            "expression": [
              "Bundle/bundle-jurisdiction-fetal-death-not-named: Bundle.entry[4].resource/*Patient/patient-mother-carmen-teresa-lee*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "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": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-jurisdiction-fetal-death-not-named: Bundle.entry[31].resource/*Observation/observation-present-job-carmen-teresa-lee*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1793
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-jurisdiction-fetal-death-not-named: Bundle.entry[32].resource/*Observation/observation-present-job-tom-yan-lee*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1857
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-jurisdiction-fetal-death-not-named: Bundle.entry[33].resource/*Observation/observation-input-race-and-ethnicity-carmen-teresa-lee*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1857
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/bundle-jurisdiction-fetal-death-not-named: Bundle.entry[33].resource/*Observation/observation-input-race-and-ethnicity-carmen-teresa-lee*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1729
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-jurisdiction-fetal-death-not-named: Bundle.entry[31].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1793
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-jurisdiction-fetal-death-not-named: Bundle.entry[32].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1857
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-jurisdiction-fetal-death-not-named: Bundle.entry[33].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1857
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/bundle-jurisdiction-fetal-death-not-named: Bundle.entry[33].resource"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Bundle-bundle-jurisdiction-live-birth-babyg-quinn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Bundle-bundle-jurisdiction-live-birth-babyg-quinn",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 413
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 58
              },
              {
                "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://hospital.smarthealthit.org'"
            },
            "expression": [
              "Bundle/bundle-jurisdiction-live-birth-babyg-quinn: Bundle.entry[1].resource/*Patient/patient-child-babyg-quinn*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 453
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 58
              },
              {
                "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://hospital.smarthealthit.org'"
            },
            "expression": [
              "Bundle/bundle-jurisdiction-live-birth-babyg-quinn: Bundle.entry[2].resource/*Encounter/encounter-birth-babyg-quinn*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 585
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 58
              },
              {
                "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://hospital.smarthealthit.org'"
            },
            "expression": [
              "Bundle/bundle-jurisdiction-live-birth-babyg-quinn: Bundle.entry[3].resource/*Encounter/encounter-maternity-jada-ann-quinn*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 776
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 58
              },
              {
                "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://hospital.smarthealthit.org'"
            },
            "expression": [
              "Bundle/bundle-jurisdiction-live-birth-babyg-quinn: Bundle.entry[5].resource/*Patient/patient-mother-jada-ann-quinn*/.identifier[1].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2376
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-jurisdiction-live-birth-babyg-quinn: Bundle.entry[40].resource/*Observation/observation-mother-married-during-pregnancy-jada-ann-quinn*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2477
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-jurisdiction-live-birth-babyg-quinn: Bundle.entry[42].resource/*Observation/observation-present-job-jada-ann-quinn*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2541
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-jurisdiction-live-birth-babyg-quinn: Bundle.entry[43].resource/*Observation/observation-input-race-and-ethnicity-jada-ann-quinn*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2541
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/bundle-jurisdiction-live-birth-babyg-quinn: Bundle.entry[43].resource/*Observation/observation-input-race-and-ethnicity-jada-ann-quinn*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3031
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-jurisdiction-live-birth-babyg-quinn: Bundle.entry[48].resource/*Observation/observation-present-job-james-brandon-quinn*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3095
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-jurisdiction-live-birth-babyg-quinn: Bundle.entry[49].resource/*Observation/observation-input-race-and-ethnicity-james-quinn-w-edit*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3095
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/bundle-jurisdiction-live-birth-babyg-quinn: Bundle.entry[49].resource/*Observation/observation-input-race-and-ethnicity-james-quinn-w-edit*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2376
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-jurisdiction-live-birth-babyg-quinn: Bundle.entry[40].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2477
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-jurisdiction-live-birth-babyg-quinn: Bundle.entry[42].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2541
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-jurisdiction-live-birth-babyg-quinn: Bundle.entry[43].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2541
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/bundle-jurisdiction-live-birth-babyg-quinn: Bundle.entry[43].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3031
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-jurisdiction-live-birth-babyg-quinn: Bundle.entry[48].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3095
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-jurisdiction-live-birth-babyg-quinn: Bundle.entry[49].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3095
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/bundle-jurisdiction-live-birth-babyg-quinn: Bundle.entry[49].resource"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Bundle-bundle-provider-fetal-death-not-named",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Bundle-bundle-provider-fetal-death-not-named",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 324
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 58
              },
              {
                "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://hospital.smarthealthit.org'"
            },
            "expression": [
              "Bundle/bundle-provider-fetal-death-not-named: Bundle.entry[1].resource/*Patient/patient-decedent-fetus-not-named*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 375
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 58
              },
              {
                "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://hospital.smarthealthit.org'"
            },
            "expression": [
              "Bundle/bundle-provider-fetal-death-not-named: Bundle.entry[2].resource/*Encounter/encounter-maternity-carmen-teresa-lee*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 527
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 58
              },
              {
                "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://hospital.smarthealthit.org'"
            },
            "expression": [
              "Bundle/bundle-provider-fetal-death-not-named: Bundle.entry[3].resource/*Patient/patient-mother-carmen-teresa-lee*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1653
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-provider-fetal-death-not-named: Bundle.entry[30].resource/*Observation/observation-present-job-carmen-teresa-lee*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1717
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-provider-fetal-death-not-named: Bundle.entry[31].resource/*Observation/observation-present-job-tom-yan-lee*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1781
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-provider-fetal-death-not-named: Bundle.entry[32].resource/*Observation/observation-input-race-and-ethnicity-carmen-teresa-lee*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1781
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/bundle-provider-fetal-death-not-named: Bundle.entry[32].resource/*Observation/observation-input-race-and-ethnicity-carmen-teresa-lee*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1653
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-provider-fetal-death-not-named: Bundle.entry[30].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1717
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-provider-fetal-death-not-named: Bundle.entry[31].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1781
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-provider-fetal-death-not-named: Bundle.entry[32].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1781
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/bundle-provider-fetal-death-not-named: Bundle.entry[32].resource"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Bundle-bundle-provider-live-birth-babyg-quinn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Bundle-bundle-provider-live-birth-babyg-quinn",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 428
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 58
              },
              {
                "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://hospital.smarthealthit.org'"
            },
            "expression": [
              "Bundle/bundle-provider-live-birth-babyg-quinn: Bundle.entry[1].resource/*Patient/patient-child-babyg-quinn*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 468
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 58
              },
              {
                "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://hospital.smarthealthit.org'"
            },
            "expression": [
              "Bundle/bundle-provider-live-birth-babyg-quinn: Bundle.entry[2].resource/*Encounter/encounter-birth-babyg-quinn*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 600
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 58
              },
              {
                "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://hospital.smarthealthit.org'"
            },
            "expression": [
              "Bundle/bundle-provider-live-birth-babyg-quinn: Bundle.entry[3].resource/*Encounter/encounter-maternity-jada-ann-quinn*/.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 890
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 58
              },
              {
                "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://hospital.smarthealthit.org'"
            },
            "expression": [
              "Bundle/bundle-provider-live-birth-babyg-quinn: Bundle.entry[6].resource/*Patient/patient-mother-jada-ann-quinn*/.identifier[1].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2513
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-provider-live-birth-babyg-quinn: Bundle.entry[43].resource/*Observation/observation-mother-married-during-pregnancy-jada-ann-quinn*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2600
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-provider-live-birth-babyg-quinn: Bundle.entry[45].resource/*Observation/observation-present-job-jada-ann-quinn*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2664
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-provider-live-birth-babyg-quinn: Bundle.entry[46].resource/*Observation/observation-input-race-and-ethnicity-jada-ann-quinn*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2664
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/bundle-provider-live-birth-babyg-quinn: Bundle.entry[46].resource/*Observation/observation-input-race-and-ethnicity-jada-ann-quinn*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3124
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-provider-live-birth-babyg-quinn: Bundle.entry[51].resource/*Observation/observation-present-job-james-brandon-quinn*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3188
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-provider-live-birth-babyg-quinn: Bundle.entry[52].resource/*Observation/observation-input-race-and-ethnicity-james-quinn*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3188
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/bundle-provider-live-birth-babyg-quinn: Bundle.entry[52].resource/*Observation/observation-input-race-and-ethnicity-james-quinn*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2513
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-provider-live-birth-babyg-quinn: Bundle.entry[43].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2600
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-provider-live-birth-babyg-quinn: Bundle.entry[45].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2664
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-provider-live-birth-babyg-quinn: Bundle.entry[46].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2664
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/bundle-provider-live-birth-babyg-quinn: Bundle.entry[46].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3124
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-provider-live-birth-babyg-quinn: Bundle.entry[51].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3188
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-provider-live-birth-babyg-quinn: Bundle.entry[52].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3188
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/bundle-provider-live-birth-babyg-quinn: Bundle.entry[52].resource"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/CapabilityStatement-CapabilityStatement-bfdr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CapabilityStatement-CapabilityStatement-bfdr",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7117
              },
              {
                "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": [
              "CapabilityStatement/CapabilityStatement-bfdr: CapabilityStatement"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/CodeSystem-CodeSystem-edit-flags",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-CodeSystem-edit-flags",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2966
              },
              {
                "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": [
              "CodeSystem/CodeSystem-edit-flags: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/CodeSystem-CodeSystem-local-bfdr-codes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-CodeSystem-local-bfdr-codes",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6711
              },
              {
                "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": [
              "CodeSystem/CodeSystem-local-bfdr-codes: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6711
              },
              {
                "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/CodeSystem-local-bfdr-codes: CodeSystem.concept[11]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Composition-composition-coded-cause-of-fetal-death-not-named",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Composition-composition-coded-cause-of-fetal-death-not-named"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Composition-composition-coded-industry-and-occupation-baby-g-quinn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Composition-composition-coded-industry-and-occupation-baby-g-quinn"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Composition-composition-coded-race-and-ethnicity-baby-g-quinn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Composition-composition-coded-race-and-ethnicity-baby-g-quinn"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Composition-composition-jurisdiction-fetal-death-not-named",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Composition-composition-jurisdiction-fetal-death-not-named"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Composition-composition-jurisdiction-live-birth-babyg-quinn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Composition-composition-jurisdiction-live-birth-babyg-quinn"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Composition-composition-provider-fetal-death-not-named",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Composition-composition-provider-fetal-death-not-named"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Composition-composition-provider-live-birth-babyg-quinn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Composition-composition-provider-live-birth-babyg-quinn"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/ConceptMap-BirthAndFetalDeathFinancialClassCM",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-BirthAndFetalDeathFinancialClassCM",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5739
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Source Code System http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr doesn't have all content (content = not-present), so the source codes cannot be checked"
            },
            "expression": [
              "ConceptMap/BirthAndFetalDeathFinancialClassCM: ConceptMap.group[0].source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4617
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '1' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/BirthAndFetalDeathFinancialClassCM: ConceptMap.group[0].element[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4723
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '2' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/BirthAndFetalDeathFinancialClassCM: ConceptMap.group[0].element[1].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4854
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '3' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/BirthAndFetalDeathFinancialClassCM: ConceptMap.group[0].element[2].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5021
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '4' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/BirthAndFetalDeathFinancialClassCM: ConceptMap.group[0].element[3].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5163
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '5' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/BirthAndFetalDeathFinancialClassCM: ConceptMap.group[0].element[4].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5287
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '6' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/BirthAndFetalDeathFinancialClassCM: ConceptMap.group[0].element[5].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5468
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '8' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/BirthAndFetalDeathFinancialClassCM: ConceptMap.group[0].element[6].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5609
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '9' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/BirthAndFetalDeathFinancialClassCM: ConceptMap.group[0].element[7].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/ConceptMap-BirthAttendantTitlesCM",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-BirthAttendantTitlesCM",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4795
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Source Code System http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr doesn't have all content (content = not-present), so the source codes cannot be checked"
            },
            "expression": [
              "ConceptMap/BirthAttendantTitlesCM: ConceptMap.group[0].source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5171
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Source Code System http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr doesn't have all content (content = not-present), so the source codes cannot be checked"
            },
            "expression": [
              "ConceptMap/BirthAttendantTitlesCM: ConceptMap.group[1].source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5171
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.1.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor' to 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor|3.0.0'"
            },
            "expression": [
              "ConceptMap/BirthAttendantTitlesCM: ConceptMap.group[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4320
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '1' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/BirthAttendantTitlesCM: ConceptMap.group[0].element[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4434
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '2' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/BirthAttendantTitlesCM: ConceptMap.group[0].element[1].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4542
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '3' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/BirthAttendantTitlesCM: ConceptMap.group[0].element[2].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4677
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '4' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/BirthAttendantTitlesCM: ConceptMap.group[0].element[3].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4963
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '5' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/BirthAttendantTitlesCM: ConceptMap.group[1].element[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5075
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '9' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/BirthAttendantTitlesCM: ConceptMap.group[1].element[1].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/ConceptMap-BirthDeliveryOccurredCM",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-BirthDeliveryOccurredCM",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5897
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Source Code System http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr doesn't have all content (content = not-present), so the source codes cannot be checked"
            },
            "expression": [
              "ConceptMap/BirthDeliveryOccurredCM: ConceptMap.group[0].source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6237
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Source Code System http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr doesn't have all content (content = not-present), so the source codes cannot be checked"
            },
            "expression": [
              "ConceptMap/BirthDeliveryOccurredCM: ConceptMap.group[1].source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6603
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Source Code System http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr doesn't have all content (content = not-present), so the source codes cannot be checked"
            },
            "expression": [
              "ConceptMap/BirthDeliveryOccurredCM: ConceptMap.group[2].source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6603
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.1.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor' to 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor|3.0.0'"
            },
            "expression": [
              "ConceptMap/BirthDeliveryOccurredCM: ConceptMap.group[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5236
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '1' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/BirthDeliveryOccurredCM: ConceptMap.group[0].element[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5349
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '2' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/BirthDeliveryOccurredCM: ConceptMap.group[0].element[1].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5500
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '3' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/BirthDeliveryOccurredCM: ConceptMap.group[0].element[2].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5631
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '4' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/BirthDeliveryOccurredCM: ConceptMap.group[0].element[3].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5768
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '6' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/BirthDeliveryOccurredCM: ConceptMap.group[0].element[4].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6080
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '5' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/BirthDeliveryOccurredCM: ConceptMap.group[1].element[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6405
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '7' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/BirthDeliveryOccurredCM: ConceptMap.group[2].element[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6507
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '9' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/BirthDeliveryOccurredCM: ConceptMap.group[2].element[1].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/ConceptMap-BirthWeightEditFlagsCM",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-BirthWeightEditFlagsCM",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4056
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Source Code System http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr doesn't have all content (content = not-present), so the source codes cannot be checked"
            },
            "expression": [
              "ConceptMap/BirthWeightEditFlagsCM: ConceptMap.group[0].source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4607
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Source Code System http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr doesn't have all content (content = not-present), so the source codes cannot be checked"
            },
            "expression": [
              "ConceptMap/BirthWeightEditFlagsCM: ConceptMap.group[1].source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3967
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '0' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/BirthWeightEditFlagsCM: ConceptMap.group[0].element[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4233
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '1' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/BirthWeightEditFlagsCM: ConceptMap.group[1].element[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4408
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '2' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/BirthWeightEditFlagsCM: ConceptMap.group[1].element[1].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/ConceptMap-DeliveryRoutesCM",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-DeliveryRoutesCM",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4073
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Source Code System http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr doesn't have all content (content = not-present), so the source codes cannot be checked"
            },
            "expression": [
              "ConceptMap/DeliveryRoutesCM: ConceptMap.group[0].source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3527
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '1' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/DeliveryRoutesCM: ConceptMap.group[0].element[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3673
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '2' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/DeliveryRoutesCM: ConceptMap.group[0].element[1].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3806
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '3' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/DeliveryRoutesCM: ConceptMap.group[0].element[2].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3950
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '4' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/DeliveryRoutesCM: ConceptMap.group[0].element[3].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/ConceptMap-EstimateOfGestationEditFlagsCM",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-EstimateOfGestationEditFlagsCM",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3856
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Source Code System http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr doesn't have all content (content = not-present), so the source codes cannot be checked"
            },
            "expression": [
              "ConceptMap/EstimateOfGestationEditFlagsCM: ConceptMap.group[0].source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4198
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Source Code System http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr doesn't have all content (content = not-present), so the source codes cannot be checked"
            },
            "expression": [
              "ConceptMap/EstimateOfGestationEditFlagsCM: ConceptMap.group[1].source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3767
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '0' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/EstimateOfGestationEditFlagsCM: ConceptMap.group[0].element[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4033
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '1' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/EstimateOfGestationEditFlagsCM: ConceptMap.group[1].element[0].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/ConceptMap-FetalDeathCauseOrConditionCM",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-FetalDeathCauseOrConditionCM",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8650
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Source Code System http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr doesn't have all content (content = not-present), so the source codes cannot be checked"
            },
            "expression": [
              "ConceptMap/FetalDeathCauseOrConditionCM: ConceptMap.group[0].source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9789
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Source Code System http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr doesn't have all content (content = not-present), so the source codes cannot be checked"
            },
            "expression": [
              "ConceptMap/FetalDeathCauseOrConditionCM: ConceptMap.group[1].source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10088
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Source Code System http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr doesn't have all content (content = not-present), so the source codes cannot be checked"
            },
            "expression": [
              "ConceptMap/FetalDeathCauseOrConditionCM: ConceptMap.group[2].source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10088
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.1.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor' to 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor|3.0.0'"
            },
            "expression": [
              "ConceptMap/FetalDeathCauseOrConditionCM: ConceptMap.group[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7220
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'COD18a1' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/FetalDeathCauseOrConditionCM: ConceptMap.group[0].element[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7426
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'COD18a2' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/FetalDeathCauseOrConditionCM: ConceptMap.group[0].element[1].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7595
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'COD18a3' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/FetalDeathCauseOrConditionCM: ConceptMap.group[0].element[2].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7774
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'COD18a4' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/FetalDeathCauseOrConditionCM: ConceptMap.group[0].element[3].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7935
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'COD18a5' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/FetalDeathCauseOrConditionCM: ConceptMap.group[0].element[4].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8100
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'COD18a11' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/FetalDeathCauseOrConditionCM: ConceptMap.group[0].element[5].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8292
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'COD18a12' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/FetalDeathCauseOrConditionCM: ConceptMap.group[0].element[6].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8468
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'COD18a13' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/FetalDeathCauseOrConditionCM: ConceptMap.group[0].element[7].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8839
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'COD18a8' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/FetalDeathCauseOrConditionCM: ConceptMap.group[1].element[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9060
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'COD18a9' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/FetalDeathCauseOrConditionCM: ConceptMap.group[1].element[1].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9320
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'COD18a10' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/FetalDeathCauseOrConditionCM: ConceptMap.group[1].element[2].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9580
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'COD18a14' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/FetalDeathCauseOrConditionCM: ConceptMap.group[1].element[3].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9963
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'COD18a7' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/FetalDeathCauseOrConditionCM: ConceptMap.group[2].element[0].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/ConceptMap-FetalDeathTimePointsCM",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-FetalDeathTimePointsCM",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4571
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Source Code System http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr doesn't have all content (content = not-present), so the source codes cannot be checked"
            },
            "expression": [
              "ConceptMap/FetalDeathTimePointsCM: ConceptMap.group[0].source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4835
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Source Code System http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr doesn't have all content (content = not-present), so the source codes cannot be checked"
            },
            "expression": [
              "ConceptMap/FetalDeathTimePointsCM: ConceptMap.group[1].source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4835
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.1.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor' to 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor|3.0.0'"
            },
            "expression": [
              "ConceptMap/FetalDeathTimePointsCM: ConceptMap.group[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4071
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'N' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/FetalDeathTimePointsCM: ConceptMap.group[0].element[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4244
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'L' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/FetalDeathTimePointsCM: ConceptMap.group[0].element[1].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4411
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'A' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/FetalDeathTimePointsCM: ConceptMap.group[0].element[2].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4739
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'U' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/FetalDeathTimePointsCM: ConceptMap.group[1].element[0].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/ConceptMap-FetalPresentationCM",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-FetalPresentationCM",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4147
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Source Code System http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr doesn't have all content (content = not-present), so the source codes cannot be checked"
            },
            "expression": [
              "ConceptMap/FetalPresentationCM: ConceptMap.group[0].source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4513
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Source Code System http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr doesn't have all content (content = not-present), so the source codes cannot be checked"
            },
            "expression": [
              "ConceptMap/FetalPresentationCM: ConceptMap.group[1].source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4513
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.1.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor' to 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor|3.0.0'"
            },
            "expression": [
              "ConceptMap/FetalPresentationCM: ConceptMap.group[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3892
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '1' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/FetalPresentationCM: ConceptMap.group[0].element[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4026
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '2' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/FetalPresentationCM: ConceptMap.group[0].element[1].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4315
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '3' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/FetalPresentationCM: ConceptMap.group[1].element[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4417
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '9' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/FetalPresentationCM: ConceptMap.group[1].element[1].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/ConceptMap-InfectionsDuringPregnancyLiveBirthCM",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-InfectionsDuringPregnancyLiveBirthCM",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Source Code System http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr doesn't have all content (content = not-present), so the source codes cannot be checked"
            },
            "expression": [
              "ConceptMap/InfectionsDuringPregnancyLiveBirthCM: ConceptMap.group[0].source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3981
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'GON' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/InfectionsDuringPregnancyLiveBirthCM: ConceptMap.group[0].element[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4119
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'SYPH' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/InfectionsDuringPregnancyLiveBirthCM: ConceptMap.group[0].element[1].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4255
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'CHAM' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/InfectionsDuringPregnancyLiveBirthCM: ConceptMap.group[0].element[2].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4394
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'HEPB' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/InfectionsDuringPregnancyLiveBirthCM: ConceptMap.group[0].element[3].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4536
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'HEPC' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/InfectionsDuringPregnancyLiveBirthCM: ConceptMap.group[0].element[4].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/ConceptMap-NewbornCongenitalAnomaliesCM",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-NewbornCongenitalAnomaliesCM",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8185
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Source Code System http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr doesn't have all content (content = not-present), so the source codes cannot be checked"
            },
            "expression": [
              "ConceptMap/NewbornCongenitalAnomaliesCM: ConceptMap.group[0].source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5982
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'ANEN' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/NewbornCongenitalAnomaliesCM: ConceptMap.group[0].element[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6141
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'MNSB' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/NewbornCongenitalAnomaliesCM: ConceptMap.group[0].element[1].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6336
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'CCHD' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/NewbornCongenitalAnomaliesCM: ConceptMap.group[0].element[2].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6538
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'CDH' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/NewbornCongenitalAnomaliesCM: ConceptMap.group[0].element[3].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6737
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'OMPH' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/NewbornCongenitalAnomaliesCM: ConceptMap.group[0].element[4].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6896
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'GAST' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/NewbornCongenitalAnomaliesCM: ConceptMap.group[0].element[5].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7059
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'LIMB' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/NewbornCongenitalAnomaliesCM: ConceptMap.group[0].element[6].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7293
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'CL' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/NewbornCongenitalAnomaliesCM: ConceptMap.group[0].element[7].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7504
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'CP' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/NewbornCongenitalAnomaliesCM: ConceptMap.group[0].element[8].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7677
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'DOWT' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/NewbornCongenitalAnomaliesCM: ConceptMap.group[0].element[9].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7840
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'CDIT' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/NewbornCongenitalAnomaliesCM: ConceptMap.group[0].element[10].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8038
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'HYPO' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/NewbornCongenitalAnomaliesCM: ConceptMap.group[0].element[11].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/ConceptMap-NumberPreviousCesareansEditFlagsCM",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-NumberPreviousCesareansEditFlagsCM",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3901
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Source Code System http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr doesn't have all content (content = not-present), so the source codes cannot be checked"
            },
            "expression": [
              "ConceptMap/NumberPreviousCesareansEditFlagsCM: ConceptMap.group[0].source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4214
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Source Code System http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr doesn't have all content (content = not-present), so the source codes cannot be checked"
            },
            "expression": [
              "ConceptMap/NumberPreviousCesareansEditFlagsCM: ConceptMap.group[1].source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3799
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '0' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/NumberPreviousCesareansEditFlagsCM: ConceptMap.group[0].element[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4078
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '1' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/NumberPreviousCesareansEditFlagsCM: ConceptMap.group[1].element[0].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/ConceptMap-PerformedNotPerformedPlannedCM",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-PerformedNotPerformedPlannedCM",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3709
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Source Code System http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr doesn't have all content (content = not-present), so the source codes cannot be checked"
            },
            "expression": [
              "ConceptMap/PerformedNotPerformedPlannedCM: ConceptMap.group[0].source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3384
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'Y' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/PerformedNotPerformedPlannedCM: ConceptMap.group[0].element[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3494
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'N' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/PerformedNotPerformedPlannedCM: ConceptMap.group[0].element[1].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3607
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'P' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/PerformedNotPerformedPlannedCM: ConceptMap.group[0].element[2].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/ConceptMap-PregnancyReportEditFlagsCM",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-PregnancyReportEditFlagsCM",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3994
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Source Code System http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr doesn't have all content (content = not-present), so the source codes cannot be checked"
            },
            "expression": [
              "ConceptMap/PregnancyReportEditFlagsCM: ConceptMap.group[0].source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3570
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '0' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/PregnancyReportEditFlagsCM: ConceptMap.group[0].element[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3682
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '1' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/PregnancyReportEditFlagsCM: ConceptMap.group[0].element[1].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3839
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '2' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'null'"
            },
            "expression": [
              "ConceptMap/PregnancyReportEditFlagsCM: ConceptMap.group[0].element[2].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Condition-condition-chorioamnionitis-jada-ann-quinn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-condition-chorioamnionitis-jada-ann-quinn"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Condition-condition-congenital-anomaly-of-newborn-babyg-quinn-2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-condition-congenital-anomaly-of-newborn-babyg-quinn-2"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Condition-condition-congenital-anomaly-of-newborn-babyg-quinn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-condition-congenital-anomaly-of-newborn-babyg-quinn"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Condition-condition-eclampsia-hypertension-jada-ann-quinn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-condition-eclampsia-hypertension-jada-ann-quinn"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Condition-condition-fetal-death-cause-or-condition-not-named",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-condition-fetal-death-cause-or-condition-not-named"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Condition-condition-fetal-death-other-significant-cause-not-named",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-condition-fetal-death-other-significant-cause-not-named"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Condition-condition-gestational-diabetes-carmen-teresa-lee",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-condition-gestational-diabetes-carmen-teresa-lee"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Condition-condition-gestational-diabetes-jada-ann-quinn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-condition-gestational-diabetes-jada-ann-quinn"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Condition-condition-gestational-hypertension-jada-ann-quinn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-condition-gestational-hypertension-jada-ann-quinn"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Condition-condition-infection-present-during-pregnancy-jada-ann-quinn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-condition-infection-present-during-pregnancy-jada-ann-quinn"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Condition-condition-perineal-laceration-jada-ann-quinn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-condition-perineal-laceration-jada-ann-quinn"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Condition-condition-prepregnancy-diabetes-jada-ann-quinn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-condition-prepregnancy-diabetes-jada-ann-quinn"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Condition-condition-prepregnancy-hypertension-carmen-teresa-lee",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-condition-prepregnancy-hypertension-carmen-teresa-lee"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Condition-condition-prepregnancy-hypertension-jada-ann-quinn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-condition-prepregnancy-hypertension-jada-ann-quinn"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Condition-condition-ruptured-uterus-jada-ann-quinn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-condition-ruptured-uterus-jada-ann-quinn"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Condition-condition-seizure-babyg-quinn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-condition-seizure-babyg-quinn"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Coverage-coverage-principal-payer-for-delivery-jada-ann-quinn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Coverage-coverage-principal-payer-for-delivery-jada-ann-quinn"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Encounter-encounter-birth-babyg-quinn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Encounter-encounter-birth-babyg-quinn",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 52
              },
              {
                "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://hospital.smarthealthit.org'"
            },
            "expression": [
              "Encounter/encounter-birth-babyg-quinn: Encounter.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Encounter-encounter-maternity-carmen-teresa-lee",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Encounter-encounter-maternity-carmen-teresa-lee",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 52
              },
              {
                "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://hospital.smarthealthit.org'"
            },
            "expression": [
              "Encounter/encounter-maternity-carmen-teresa-lee: Encounter.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Encounter-encounter-maternity-jada-ann-quinn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Encounter-encounter-maternity-jada-ann-quinn",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 52
              },
              {
                "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://hospital.smarthealthit.org'"
            },
            "expression": [
              "Encounter/encounter-maternity-jada-ann-quinn: Encounter.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Location-location-east-hospital",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Location-location-east-hospital"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Location-location-north-hospital",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Location-location-north-hospital"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Location-location-south-hospital",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Location-location-south-hospital"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Observation-observation-antibiotics-during-labor-jada-ann-quinn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-antibiotics-during-labor-jada-ann-quinn"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Observation-observation-apgar-score-babyg-quinn-10-min",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-apgar-score-babyg-quinn-10-min"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Observation-observation-apgar-score-babyg-quinn-5-min",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-apgar-score-babyg-quinn-5-min"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Observation-observation-autopsy-histological-exam-results-used-not-named",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-autopsy-histological-exam-results-used-not-named"
      }
    },
    {
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Observation-observation-paternity-acknowledgement-signed-james-quinn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-paternity-acknowledgement-signed-james-quinn"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Observation-observation-planned-to-deliver-at-home-babyg-quinn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-planned-to-deliver-at-home-babyg-quinn"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Observation-observation-planned-to-deliver-at-home-not-named",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-planned-to-deliver-at-home-not-named"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Observation-observation-plurality-carmen-teresa-lee",
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            "expression": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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            "severity": "warning",
            "code": "not-found",
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            "expression": [
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
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            ],
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            "code": "invalid",
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            "expression": [
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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            "code": "invalid",
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            "expression": [
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    },
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      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Observation-observation-present-job-james-brandon-quinn-coded",
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            "code": "not-found",
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            "expression": [
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            "code": "not-found",
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            "expression": [
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            "code": "invalid",
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            ],
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            "code": "invalid",
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            "expression": [
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      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Observation-observation-previous-cesarean-jada-ann-quinn",
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        "resourceType": "OperationOutcome",
        "id": "Observation-observation-previous-cesarean-jada-ann-quinn"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Observation-observation-previous-preterm-births-jada-ann-quinn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-previous-preterm-births-jada-ann-quinn"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Observation-observation-ssn-requested-for-child-babyg-quinn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-ssn-requested-for-child-babyg-quinn"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Observation-observation-steroids-fetal-lung-maturation-jada-ann-quinn",
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        "resourceType": "OperationOutcome",
        "id": "Observation-observation-steroids-fetal-lung-maturation-jada-ann-quinn"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Observation-observation-unknown-route-method-delivery-jada-ann-quinn",
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        "resourceType": "OperationOutcome",
        "id": "Observation-observation-unknown-route-method-delivery-jada-ann-quinn"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Organization-organization-jurisdictional-vital-records-office",
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        "resourceType": "OperationOutcome",
        "id": "Organization-organization-jurisdictional-vital-records-office"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Organization-organization-nchs",
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        "resourceType": "OperationOutcome",
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        "resourceType": "OperationOutcome",
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      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Parameters-expansion-parameters",
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    },
    {
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    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Patient-patient-mother-carmen-teresa-lee-w-edit",
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        "resourceType": "OperationOutcome",
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            "code": "invalid",
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          }
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                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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            ],
            "severity": "warning",
            "code": "invalid",
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          }
        ]
      }
    },
    {
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        "resourceType": "OperationOutcome",
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            "severity": "warning",
            "code": "invalid",
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            "expression": [
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          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Practitioner-practitioner-vital-records-avery-jones",
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        "id": "Practitioner-practitioner-vital-records-avery-jones"
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    },
    {
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        "resourceType": "OperationOutcome",
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    },
    {
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      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Practitioner-practitioner-vital-records-jessica-leung"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Procedure-procedure-antibiotic-sepsis-babyg-quinn",
      "resource": {
        "resourceType": "OperationOutcome",
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Procedure-procedure-artificial-insemination-jada-ann-quinn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-procedure-artificial-insemination-jada-ann-quinn"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Procedure-procedure-assisted-reproductive-technology-jada-ann-quinn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-procedure-assisted-reproductive-technology-jada-ann-quinn"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Procedure-procedure-augmentation-of-labor-quinn",
      "resource": {
        "resourceType": "OperationOutcome",
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Procedure-procedure-blood-transfusion-jada-ann-quinn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-procedure-blood-transfusion-jada-ann-quinn"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Procedure-procedure-epidural-or-spinal-anesthesia-jada-ann-quinn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-procedure-epidural-or-spinal-anesthesia-jada-ann-quinn"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Procedure-procedure-final-route-method-delivery-babyg-quinn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-procedure-final-route-method-delivery-babyg-quinn"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Procedure-procedure-final-route-method-delivery-not-named",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-procedure-final-route-method-delivery-not-named"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Procedure-procedure-induction-of-labor-jada-ann-quinn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-procedure-induction-of-labor-jada-ann-quinn"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Procedure-procedure-infertility-treatment-jada-ann-quinn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-procedure-infertility-treatment-jada-ann-quinn"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Procedure-procedure-obstetric-procedure-jada-ann-quinn",
      "resource": {
        "resourceType": "OperationOutcome",
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Procedure-procedure-surfactant-replacement-babyg-quinn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-procedure-surfactant-replacement-babyg-quinn"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Procedure-procedure-unplanned-hysterectomy-quinn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-procedure-unplanned-hysterectomy-quinn"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Procedure-procedure-ventilation-following-babyg-quinn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-procedure-ventilation-following-babyg-quinn"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Procedure-procedure-ventilation-more-6-hours-babyg-quinn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-procedure-ventilation-more-6-hours-babyg-quinn"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/Questionnaire-Questionnaire-mothers-live-birth",
      "resource": {
        "resourceType": "OperationOutcome",
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                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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            "severity": "warning",
            "code": "invalid",
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              "text": "No definition could be found for URL value 'Observation.value'"
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            "expression": [
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          {
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            "severity": "warning",
            "code": "invalid",
            "details": {
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            "expression": [
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          }
        ]
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      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Questionnaire-Questionnaire-patients-fetal-death"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/QuestionnaireResponse-QuestionnaireResponse-mothers-live-birth-jada-quinn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "QuestionnaireResponse-QuestionnaireResponse-mothers-live-birth-jada-quinn"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/QuestionnaireResponse-QuestionnaireResponse-patients-fetal-death-carmen-lee",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "QuestionnaireResponse-QuestionnaireResponse-patients-fetal-death-carmen-lee"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/RelatedPerson-relatedperson-father-natural-james-brandon-quinn-w-edit",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "RelatedPerson-relatedperson-father-natural-james-brandon-quinn-w-edit"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/RelatedPerson-relatedperson-father-natural-james-brandon-quinn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "RelatedPerson-relatedperson-father-natural-james-brandon-quinn"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/RelatedPerson-relatedperson-father-natural-tom-yan-lee-w-edit",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "RelatedPerson-relatedperson-father-natural-tom-yan-lee-w-edit"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/RelatedPerson-relatedperson-father-natural-tom-yan-lee",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "RelatedPerson-relatedperson-father-natural-tom-yan-lee"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/RelatedPerson-relatedperson-mother-carmen-teresa-lee",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "RelatedPerson-relatedperson-mother-carmen-teresa-lee"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/RelatedPerson-relatedperson-mother-jada-ann-quinn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "RelatedPerson-relatedperson-mother-jada-ann-quinn"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/StructureDefinition-Bundle-document-birth-report",
      "resource": {
        "resourceType": "OperationOutcome",
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                "valueCode": "VALIDATION_VAL_STATUS_INCONSISTENT"
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            ],
            "severity": "warning",
            "code": "business-rule",
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            "expression": [
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/StructureDefinition-Bundle-document-coded-cause-of-fetal-death",
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        "resourceType": "OperationOutcome",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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            "expression": [
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    },
    {
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      "resource": {
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            "severity": "warning",
            "code": "business-rule",
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            "expression": [
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            "severity": "warning",
            "code": "business-rule",
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            "expression": [
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    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/StructureDefinition-Bundle-document-fetal-death-report",
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            "code": "invalid",
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                "valueCode": "VALIDATION_VAL_STATUS_INCONSISTENT"
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            "severity": "warning",
            "code": "business-rule",
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            "expression": [
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    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/StructureDefinition-Composition-coded-industry-and-occupation",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
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            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v3-ActCode'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.0.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v3-ActCode' to 'http://terminology.hl7.org/ValueSet/v3-ActCode|3.0.0'"
            },
            "expression": [
              "StructureDefinition/Composition-coded-industry-and-occupation: StructureDefinition.snapshot.element[37].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 182591
              },
              {
                "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": [
              "StructureDefinition/Composition-coded-industry-and-occupation: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/StructureDefinition-Composition-coded-race-and-ethnicity",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Composition-coded-race-and-ethnicity",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 117178
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v3-ActCode'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.0.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v3-ActCode' to 'http://terminology.hl7.org/ValueSet/v3-ActCode|3.0.0'"
            },
            "expression": [
              "StructureDefinition/Composition-coded-race-and-ethnicity: StructureDefinition.snapshot.element[37].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 189416
              },
              {
                "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": [
              "StructureDefinition/Composition-coded-race-and-ethnicity: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/StructureDefinition-Composition-jurisdiction-fetal-death-report",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Composition-jurisdiction-fetal-death-report",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 235519
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v3-ActCode'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.0.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v3-ActCode' to 'http://terminology.hl7.org/ValueSet/v3-ActCode|3.0.0'"
            },
            "expression": [
              "StructureDefinition/Composition-jurisdiction-fetal-death-report: StructureDefinition.snapshot.element[37].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 430230
              },
              {
                "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": [
              "StructureDefinition/Composition-jurisdiction-fetal-death-report: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/StructureDefinition-Composition-jurisdiction-live-birth-report",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Composition-jurisdiction-live-birth-report",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 273951
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v3-ActCode'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.0.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v3-ActCode' to 'http://terminology.hl7.org/ValueSet/v3-ActCode|3.0.0'"
            },
            "expression": [
              "StructureDefinition/Composition-jurisdiction-live-birth-report: StructureDefinition.snapshot.element[43].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 488609
              },
              {
                "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": [
              "StructureDefinition/Composition-jurisdiction-live-birth-report: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/StructureDefinition-Composition-provider-fetal-death-report",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Composition-provider-fetal-death-report",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 247704
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v3-ActCode'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.0.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v3-ActCode' to 'http://terminology.hl7.org/ValueSet/v3-ActCode|3.0.0'"
            },
            "expression": [
              "StructureDefinition/Composition-provider-fetal-death-report: StructureDefinition.snapshot.element[37].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 463844
              },
              {
                "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": [
              "StructureDefinition/Composition-provider-fetal-death-report: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/StructureDefinition-Composition-provider-live-birth-report",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Composition-provider-live-birth-report",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 286018
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v3-ActCode'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.0.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v3-ActCode' to 'http://terminology.hl7.org/ValueSet/v3-ActCode|3.0.0'"
            },
            "expression": [
              "StructureDefinition/Composition-provider-live-birth-report: StructureDefinition.snapshot.element[43].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 522187
              },
              {
                "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": [
              "StructureDefinition/Composition-provider-live-birth-report: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/StructureDefinition-Condition-chorioamnionitis",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Condition-chorioamnionitis",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 51466
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.3.0-ballot-tc1', found versions: 4.0.1, 5.1.0, 5.3.0-ballot-tc1. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate' to 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate|5.3.0-ballot-tc1'"
            },
            "expression": [
              "StructureDefinition/Condition-chorioamnionitis: StructureDefinition.snapshot.element[8].type[0].profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 96748
              },
              {
                "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": [
              "StructureDefinition/Condition-chorioamnionitis: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/StructureDefinition-Condition-congenital-anomaly-of-newborn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Condition-congenital-anomaly-of-newborn",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 60271
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.3.0-ballot-tc1', found versions: 4.0.1, 5.1.0, 5.3.0-ballot-tc1. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate' to 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate|5.3.0-ballot-tc1'"
            },
            "expression": [
              "StructureDefinition/Condition-congenital-anomaly-of-newborn: StructureDefinition.snapshot.element[8].type[0].profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 123760
              },
              {
                "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": [
              "StructureDefinition/Condition-congenital-anomaly-of-newborn: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/StructureDefinition-Condition-eclampsia-hypertension",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Condition-eclampsia-hypertension",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42008
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.3.0-ballot-tc1', found versions: 4.0.1, 5.1.0, 5.3.0-ballot-tc1. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate' to 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate|5.3.0-ballot-tc1'"
            },
            "expression": [
              "StructureDefinition/Condition-eclampsia-hypertension: StructureDefinition.snapshot.element[8].type[0].profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 86786
              },
              {
                "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": [
              "StructureDefinition/Condition-eclampsia-hypertension: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/StructureDefinition-Condition-fetal-death-initiating-cause-or-condition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Condition-fetal-death-initiating-cause-or-condition",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 51892
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.3.0-ballot-tc1', found versions: 4.0.1, 5.1.0, 5.3.0-ballot-tc1. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate' to 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate|5.3.0-ballot-tc1'"
            },
            "expression": [
              "StructureDefinition/Condition-fetal-death-initiating-cause-or-condition: StructureDefinition.snapshot.element[8].type[0].profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 101619
              },
              {
                "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": [
              "StructureDefinition/Condition-fetal-death-initiating-cause-or-condition: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/StructureDefinition-Condition-fetal-death-other-cause-or-condition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Condition-fetal-death-other-cause-or-condition",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 50762
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.3.0-ballot-tc1', found versions: 4.0.1, 5.1.0, 5.3.0-ballot-tc1. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate' to 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate|5.3.0-ballot-tc1'"
            },
            "expression": [
              "StructureDefinition/Condition-fetal-death-other-cause-or-condition: StructureDefinition.snapshot.element[8].type[0].profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 100600
              },
              {
                "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": [
              "StructureDefinition/Condition-fetal-death-other-cause-or-condition: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/StructureDefinition-Condition-gestational-diabetes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Condition-gestational-diabetes",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42002
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.3.0-ballot-tc1', found versions: 4.0.1, 5.1.0, 5.3.0-ballot-tc1. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate' to 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate|5.3.0-ballot-tc1'"
            },
            "expression": [
              "StructureDefinition/Condition-gestational-diabetes: StructureDefinition.snapshot.element[8].type[0].profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 86820
              },
              {
                "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": [
              "StructureDefinition/Condition-gestational-diabetes: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/StructureDefinition-Condition-gestational-hypertension",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Condition-gestational-hypertension",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42055
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.3.0-ballot-tc1', found versions: 4.0.1, 5.1.0, 5.3.0-ballot-tc1. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate' to 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate|5.3.0-ballot-tc1'"
            },
            "expression": [
              "StructureDefinition/Condition-gestational-hypertension: StructureDefinition.snapshot.element[8].type[0].profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 86875
              },
              {
                "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": [
              "StructureDefinition/Condition-gestational-hypertension: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/StructureDefinition-Condition-infection-present-during-pregnancy",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Condition-infection-present-during-pregnancy",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 38290
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.3.0-ballot-tc1', found versions: 4.0.1, 5.1.0, 5.3.0-ballot-tc1. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate' to 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate|5.3.0-ballot-tc1'"
            },
            "expression": [
              "StructureDefinition/Condition-infection-present-during-pregnancy: StructureDefinition.snapshot.element[8].type[0].profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 83919
              },
              {
                "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": [
              "StructureDefinition/Condition-infection-present-during-pregnancy: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/StructureDefinition-Condition-perineal-laceration",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Condition-perineal-laceration",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42167
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.3.0-ballot-tc1', found versions: 4.0.1, 5.1.0, 5.3.0-ballot-tc1. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate' to 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate|5.3.0-ballot-tc1'"
            },
            "expression": [
              "StructureDefinition/Condition-perineal-laceration: StructureDefinition.snapshot.element[8].type[0].profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 87085
              },
              {
                "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": [
              "StructureDefinition/Condition-perineal-laceration: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/StructureDefinition-Condition-prepregnancy-diabetes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Condition-prepregnancy-diabetes",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42003
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.3.0-ballot-tc1', found versions: 4.0.1, 5.1.0, 5.3.0-ballot-tc1. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate' to 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate|5.3.0-ballot-tc1'"
            },
            "expression": [
              "StructureDefinition/Condition-prepregnancy-diabetes: StructureDefinition.snapshot.element[8].type[0].profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 86797
              },
              {
                "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": [
              "StructureDefinition/Condition-prepregnancy-diabetes: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/StructureDefinition-Condition-prepregnancy-hypertension",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Condition-prepregnancy-hypertension",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42078
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.3.0-ballot-tc1', found versions: 4.0.1, 5.1.0, 5.3.0-ballot-tc1. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate' to 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate|5.3.0-ballot-tc1'"
            },
            "expression": [
              "StructureDefinition/Condition-prepregnancy-hypertension: StructureDefinition.snapshot.element[8].type[0].profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 86918
              },
              {
                "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": [
              "StructureDefinition/Condition-prepregnancy-hypertension: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/StructureDefinition-Condition-ruptured-uterus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Condition-ruptured-uterus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42088
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.3.0-ballot-tc1', found versions: 4.0.1, 5.1.0, 5.3.0-ballot-tc1. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate' to 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate|5.3.0-ballot-tc1'"
            },
            "expression": [
              "StructureDefinition/Condition-ruptured-uterus: StructureDefinition.snapshot.element[8].type[0].profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 86964
              },
              {
                "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": [
              "StructureDefinition/Condition-ruptured-uterus: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/StructureDefinition-Condition-seizure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Condition-seizure",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42023
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.3.0-ballot-tc1', found versions: 4.0.1, 5.1.0, 5.3.0-ballot-tc1. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate' to 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate|5.3.0-ballot-tc1'"
            },
            "expression": [
              "StructureDefinition/Condition-seizure: StructureDefinition.snapshot.element[8].type[0].profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 86916
              },
              {
                "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": [
              "StructureDefinition/Condition-seizure: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/StructureDefinition-Coverage-principal-payer-delivery",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Coverage-principal-payer-delivery",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 46734
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/data-absent-reason'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.3.0-ballot-tc1', found versions: 4.0.1, 5.1.0, 5.3.0-ballot-tc1. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/data-absent-reason' to 'http://hl7.org/fhir/StructureDefinition/data-absent-reason|5.3.0-ballot-tc1'"
            },
            "expression": [
              "StructureDefinition/Coverage-principal-payer-delivery: StructureDefinition.snapshot.element[22].type[0].profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 82814
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/data-absent-reason'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.3.0-ballot-tc1', found versions: 4.0.1, 5.1.0, 5.3.0-ballot-tc1. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/data-absent-reason' to 'http://hl7.org/fhir/StructureDefinition/data-absent-reason|5.3.0-ballot-tc1'"
            },
            "expression": [
              "StructureDefinition/Coverage-principal-payer-delivery: StructureDefinition.differential.element[1].type[0].profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 82821
              },
              {
                "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": [
              "StructureDefinition/Coverage-principal-payer-delivery: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/StructureDefinition-Encounter-birth",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Encounter-birth",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 110916
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v3-ActEncounterCode'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.0.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v3-ActEncounterCode' to 'http://terminology.hl7.org/ValueSet/v3-ActEncounterCode|3.0.0'"
            },
            "expression": [
              "StructureDefinition/Encounter-birth: StructureDefinition.snapshot.element[30].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 117938
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v3-ActEncounterCode'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.0.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v3-ActEncounterCode' to 'http://terminology.hl7.org/ValueSet/v3-ActEncounterCode|3.0.0'"
            },
            "expression": [
              "StructureDefinition/Encounter-birth: StructureDefinition.snapshot.element[35].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 121536
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v3-ActPriority'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.0.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v3-ActPriority' to 'http://terminology.hl7.org/ValueSet/v3-ActPriority|3.0.0'"
            },
            "expression": [
              "StructureDefinition/Encounter-birth: StructureDefinition.snapshot.element[39].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 210396
              },
              {
                "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": [
              "StructureDefinition/Encounter-birth: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/StructureDefinition-Encounter-maternity",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Encounter-maternity",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 107454
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v3-ActEncounterCode'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.0.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v3-ActEncounterCode' to 'http://terminology.hl7.org/ValueSet/v3-ActEncounterCode|3.0.0'"
            },
            "expression": [
              "StructureDefinition/Encounter-maternity: StructureDefinition.snapshot.element[30].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 114476
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v3-ActEncounterCode'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.0.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v3-ActEncounterCode' to 'http://terminology.hl7.org/ValueSet/v3-ActEncounterCode|3.0.0'"
            },
            "expression": [
              "StructureDefinition/Encounter-maternity: StructureDefinition.snapshot.element[35].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 118074
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v3-ActPriority'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.0.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v3-ActPriority' to 'http://terminology.hl7.org/ValueSet/v3-ActPriority|3.0.0'"
            },
            "expression": [
              "StructureDefinition/Encounter-maternity: StructureDefinition.snapshot.element[39].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 212779
              },
              {
                "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": [
              "StructureDefinition/Encounter-maternity: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/StructureDefinition-Extension-encounter-maternity-reference",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Extension-encounter-maternity-reference",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18166
              },
              {
                "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": [
              "StructureDefinition/Extension-encounter-maternity-reference: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/StructureDefinition-Extension-jurisdictional-facility-identifier",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Extension-jurisdictional-facility-identifier",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18354
              },
              {
                "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": [
              "StructureDefinition/Extension-jurisdictional-facility-identifier: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/StructureDefinition-Extension-role",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Extension-role",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18951
              },
              {
                "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": [
              "StructureDefinition/Extension-role: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/StructureDefinition-Location-bfdr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Location-bfdr",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 101322
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.0.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType' to 'http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType|3.0.0'"
            },
            "expression": [
              "StructureDefinition/Location-bfdr: StructureDefinition.snapshot.element[35].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 156646
              },
              {
                "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": [
              "StructureDefinition/Location-bfdr: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/StructureDefinition-Observation-antibiotics-administered-during-labor",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Observation-antibiotics-administered-during-labor",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 105068
              },
              {
                "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": [
              "StructureDefinition/Observation-antibiotics-administered-during-labor: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/StructureDefinition-Observation-apgar-score",
      "resource": {
        "resourceType": "OperationOutcome",
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              "text": "The resource status 'active' and the standards status 'draft' are not consistent"
            },
            "expression": [
              "StructureDefinition/Observation-number-prenatal-visits: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/StructureDefinition-Observation-number-previous-cesareans",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Observation-number-previous-cesareans",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 111323
              },
              {
                "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": [
              "StructureDefinition/Observation-number-previous-cesareans: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/StructureDefinition-Observation-paternity-acknowledgement-signed",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Observation-paternity-acknowledgement-signed",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 100244
              },
              {
                "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": [
              "StructureDefinition/Observation-paternity-acknowledgement-signed: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/StructureDefinition-Observation-planned-to-deliver-at-home",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Observation-planned-to-deliver-at-home",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 99490
              },
              {
                "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": [
              "StructureDefinition/Observation-planned-to-deliver-at-home: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/StructureDefinition-Observation-present-job",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Observation-present-job",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 258285
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v3-WorkClassificationODH'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.0.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v3-WorkClassificationODH' to 'http://terminology.hl7.org/ValueSet/v3-WorkClassificationODH|3.0.0'"
            },
            "expression": [
              "StructureDefinition/Observation-present-job: StructureDefinition.snapshot.element[150].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 429159
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v3-WorkScheduleODH'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.0.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v3-WorkScheduleODH' to 'http://terminology.hl7.org/ValueSet/v3-WorkScheduleODH|3.0.0'"
            },
            "expression": [
              "StructureDefinition/Observation-present-job: StructureDefinition.snapshot.element[270].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 551222
              },
              {
                "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": [
              "StructureDefinition/Observation-present-job: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/StructureDefinition-Observation-previous-cesarean",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Observation-previous-cesarean",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 102669
              },
              {
                "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": [
              "StructureDefinition/Observation-previous-cesarean: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/StructureDefinition-Observation-previous-preterm-birth",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Observation-previous-preterm-birth",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 102767
              },
              {
                "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": [
              "StructureDefinition/Observation-previous-preterm-birth: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/StructureDefinition-Observation-ssn-requested-for-child",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Observation-ssn-requested-for-child",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 98869
              },
              {
                "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": [
              "StructureDefinition/Observation-ssn-requested-for-child: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/StructureDefinition-Observation-steroids-fetal-lung-maturation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Observation-steroids-fetal-lung-maturation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 103050
              },
              {
                "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": [
              "StructureDefinition/Observation-steroids-fetal-lung-maturation: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/StructureDefinition-Observation-unknown-final-route-and-method-of-delivery",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Observation-unknown-final-route-and-method-of-delivery",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 102961
              },
              {
                "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": [
              "StructureDefinition/Observation-unknown-final-route-and-method-of-delivery: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/StructureDefinition-Patient-decedent-fetus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Patient-decedent-fetus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 116207
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/patient-birthPlace'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.3.0-ballot-tc1', found versions: 4.0.1, 5.1.0, 5.3.0-ballot-tc1. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/patient-birthPlace' to 'http://hl7.org/fhir/StructureDefinition/patient-birthPlace|5.3.0-ballot-tc1'"
            },
            "expression": [
              "StructureDefinition/Patient-decedent-fetus: StructureDefinition.snapshot.element[16].type[0].profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 216032
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/data-absent-reason'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.3.0-ballot-tc1', found versions: 4.0.1, 5.1.0, 5.3.0-ballot-tc1. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/data-absent-reason' to 'http://hl7.org/fhir/StructureDefinition/data-absent-reason|5.3.0-ballot-tc1'"
            },
            "expression": [
              "StructureDefinition/Patient-decedent-fetus: StructureDefinition.snapshot.element[109].type[0].profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 220123
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/data-absent-reason'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.3.0-ballot-tc1', found versions: 4.0.1, 5.1.0, 5.3.0-ballot-tc1. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/data-absent-reason' to 'http://hl7.org/fhir/StructureDefinition/data-absent-reason|5.3.0-ballot-tc1'"
            },
            "expression": [
              "StructureDefinition/Patient-decedent-fetus: StructureDefinition.snapshot.element[114].type[0].profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 260425
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/patient-birthTime'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.3.0-ballot-tc1', found versions: 4.0.1, 5.1.0, 5.3.0-ballot-tc1. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/patient-birthTime' to 'http://hl7.org/fhir/StructureDefinition/patient-birthTime|5.3.0-ballot-tc1'"
            },
            "expression": [
              "StructureDefinition/Patient-decedent-fetus: StructureDefinition.snapshot.element[152].type[0].profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 314030
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/patient-multipleBirthTotal'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.3.0-ballot-tc1', found versions: 5.1.0, 5.3.0-ballot-tc1. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/patient-multipleBirthTotal' to 'http://hl7.org/fhir/StructureDefinition/patient-multipleBirthTotal|5.3.0-ballot-tc1'"
            },
            "expression": [
              "StructureDefinition/Patient-decedent-fetus: StructureDefinition.snapshot.element[206].type[0].profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 356484
              },
              {
                "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": [
              "StructureDefinition/Patient-decedent-fetus: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/StructureDefinition-Practitioner-birth-attendant",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Practitioner-birth-attendant",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 124544
              },
              {
                "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": [
              "StructureDefinition/Practitioner-birth-attendant: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/StructureDefinition-Practitioner-birth-certifier",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Practitioner-birth-certifier",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
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              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.1.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor' to 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor|3.0.0'"
            },
            "expression": [
              "ValueSet/ValueSet-birth-attendant-titles: ValueSet.compose.include[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/ValueSet-ValueSet-birth-delivery-occurred",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ValueSet-birth-delivery-occurred",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6060
              },
              {
                "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/ValueSet-birth-delivery-occurred: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6057
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.1.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor' to 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor|3.0.0'"
            },
            "expression": [
              "ValueSet/ValueSet-birth-delivery-occurred: ValueSet.compose.include[2]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/ValueSet-ValueSet-birth-weight-edit-flags",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ValueSet-birth-weight-edit-flags",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3367
              },
              {
                "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/ValueSet-birth-weight-edit-flags: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/ValueSet-ValueSet-delivery-routes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ValueSet-delivery-routes",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2827
              },
              {
                "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/ValueSet-delivery-routes: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/ValueSet-ValueSet-estimate-of-gestation-edit-flags",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ValueSet-estimate-of-gestation-edit-flags",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3090
              },
              {
                "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/ValueSet-estimate-of-gestation-edit-flags: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/ValueSet-ValueSet-fertility-enhancing-drug-therapy-artificial-insem",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ValueSet-fertility-enhancing-drug-therapy-artificial-insem",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2976
              },
              {
                "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/ValueSet-fertility-enhancing-drug-therapy-artificial-insem: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/ValueSet-ValueSet-fetal-death-cause-or-condition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ValueSet-fetal-death-cause-or-condition",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7074
              },
              {
                "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/ValueSet-fetal-death-cause-or-condition: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7071
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.1.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor' to 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor|3.0.0'"
            },
            "expression": [
              "ValueSet/ValueSet-fetal-death-cause-or-condition: ValueSet.compose.include[2]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/ValueSet-ValueSet-fetal-death-time-points",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ValueSet-fetal-death-time-points",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4238
              },
              {
                "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/ValueSet-fetal-death-time-points: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4235
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.1.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor' to 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor|3.0.0'"
            },
            "expression": [
              "ValueSet/ValueSet-fetal-death-time-points: ValueSet.compose.include[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/ValueSet-ValueSet-fetal-presentations-max",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ValueSet-fetal-presentations-max",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2574
              },
              {
                "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/ValueSet-fetal-presentations-max: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/ValueSet-ValueSet-fetal-presentations",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ValueSet-fetal-presentations",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4909
              },
              {
                "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/ValueSet-fetal-presentations: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4906
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.1.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor' to 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor|3.0.0'"
            },
            "expression": [
              "ValueSet/ValueSet-fetal-presentations: ValueSet.compose.include[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/ValueSet-ValueSet-fetal-remains-disposition-method",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ValueSet-fetal-remains-disposition-method",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5584
              },
              {
                "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/ValueSet-fetal-remains-disposition-method: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5581
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.1.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor' to 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor|3.0.0'"
            },
            "expression": [
              "ValueSet/ValueSet-fetal-remains-disposition-method: ValueSet.compose.include[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/ValueSet-ValueSet-infections-during-pregnancy-live-birth",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ValueSet-infections-during-pregnancy-live-birth",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4815
              },
              {
                "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/ValueSet-infections-during-pregnancy-live-birth: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4812
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.1.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor' to 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor|3.0.0'"
            },
            "expression": [
              "ValueSet/ValueSet-infections-during-pregnancy-live-birth: ValueSet.compose.include[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/ValueSet-ValueSet-informant-relationship-to-mother",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ValueSet-informant-relationship-to-mother",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3067
              },
              {
                "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/ValueSet-informant-relationship-to-mother: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/ValueSet-ValueSet-location-types",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ValueSet-location-types",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2524
              },
              {
                "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/ValueSet-location-types: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/ValueSet-ValueSet-newborn-congenital-anomalies",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ValueSet-newborn-congenital-anomalies",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5873
              },
              {
                "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/ValueSet-newborn-congenital-anomalies: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5870
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.1.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor' to 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor|3.0.0'"
            },
            "expression": [
              "ValueSet/ValueSet-newborn-congenital-anomalies: ValueSet.compose.include[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/ValueSet-ValueSet-number-previous-cesareans-edit-flags",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ValueSet-number-previous-cesareans-edit-flags",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3137
              },
              {
                "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/ValueSet-number-previous-cesareans-edit-flags: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/ValueSet-ValueSet-obstetric-procedure-outcome",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ValueSet-obstetric-procedure-outcome",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2513
              },
              {
                "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/ValueSet-obstetric-procedure-outcome: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/ValueSet-ValueSet-performed-not-performed-planned",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ValueSet-performed-not-performed-planned",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2698
              },
              {
                "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/ValueSet-performed-not-performed-planned: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/ValueSet-ValueSet-pregnancy-report-edit-flags",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ValueSet-pregnancy-report-edit-flags",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3079
              },
              {
                "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/ValueSet-pregnancy-report-edit-flags: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/ValueSet-ValueSet-units-of-gestational-age",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ValueSet-units-of-gestational-age",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2224
              },
              {
                "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/ValueSet-units-of-gestational-age: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/bfdr/OperationOutcome/ValueSet-cigarette-smoking-before-during-pregnancy",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-cigarette-smoking-before-during-pregnancy",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3328
              },
              {
                "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/cigarette-smoking-before-during-pregnancy: ValueSet"
            ]
          }
        ]
      }
    }
  ]
}