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

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Resources that this resource uses

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Narrative

No narrative content found in resource


Source1

{
  "resourceType": "Bundle",
  "type": "collection",
  "timestamp": "2025-06-12T00:48:32.358+00:00",
  "entry": [
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/ImplementationGuide-hl7.fhir.us.birthdefectreporting",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ImplementationGuide-hl7.fhir.us.birthdefectreporting",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2578
              },
              {
                "url": "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.birthdefectreporting: 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": 44418
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/ImplementationGuide#ig-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: ig-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation'"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.us.birthdefectreporting: ImplementationGuide"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2330
              },
              {
                "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#7.0.0 released on 2024-05-08, 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.birthdefectreporting: 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": 2628
              },
              {
                "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.birthdefectreporting: 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": 44418
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "IG_HL7_STANDARDS_STATUS_REQUIRED"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "HL7 Implementation Guides must state their status explicitly using the extension http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.us.birthdefectreporting: ImplementationGuide"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44418
              },
              {
                "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.birthdefectreporting: ImplementationGuide"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/Bundle-BDRMessageBundleBirthingExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Bundle-BDRMessageBundleBirthingExample",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 163
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 92
              },
              {
                "url": "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/us/vr-common-library/StructureDefinition/Patient-child-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr|2.0.0'"
            },
            "expression": [
              "Bundle/BDRMessageBundleBirthingExample: Bundle.entry[3].resource/*Patient/PatientNewbornExample*/.meta.profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 265
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 99
              },
              {
                "url": "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/us/vr-common-library/StructureDefinition/RelatedPerson-mother-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-mother-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-mother-vr|2.0.0'"
            },
            "expression": [
              "Bundle/BDRMessageBundleBirthingExample: Bundle.entry[4].resource/*RelatedPerson/MotherRelatedPersonBirthingExample*/.meta.profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 333
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 107
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/us/vr-common-library/StructureDefinition/RelatedPerson-father-natural-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-father-natural-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-father-natural-vr|2.0.0'"
            },
            "expression": [
              "Bundle/BDRMessageBundleBirthingExample: Bundle.entry[5].resource/*RelatedPerson/FatherRelatedPersonBirthingExample*/.meta.profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 400
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 106
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/us/vr-common-library/StructureDefinition/Observation-education-level-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-education-level-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-education-level-vr|2.0.0'"
            },
            "expression": [
              "Bundle/BDRMessageBundleBirthingExample: Bundle.entry[6].resource/*Observation/MotherEducationBirthingExample*/.meta.profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 444
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 106
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/us/vr-common-library/StructureDefinition/Observation-education-level-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-education-level-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-education-level-vr|2.0.0'"
            },
            "expression": [
              "Bundle/BDRMessageBundleBirthingExample: Bundle.entry[7].resource/*Observation/FatherEducationBirthingExample*/.meta.profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 713
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 93
              },
              {
                "url": "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/us/vr-common-library/StructureDefinition/Patient-mother-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-mother-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-mother-vr|2.0.0'"
            },
            "expression": [
              "Bundle/BDRMessageBundleBirthingExample: Bundle.entry[13].resource/*Patient/MotherPatientExample*/.meta.profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 897
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 89
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/us/core/StructureDefinition/us-core-head-circumference'. 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 '7.0.0', found versions: 5.0.1, 7.0.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-head-circumference' to 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-head-circumference|7.0.0'"
            },
            "expression": [
              "Bundle/BDRMessageBundleBirthingExample: Bundle.entry[16].resource/*Observation/HeadCircumferenceExample*/.meta.profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 892
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/BDRMessageBundleBirthingExample: Bundle.entry[16].resource/*Observation/HeadCircumferenceExample*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1038
              },
              {
                "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:2.16.840.1.113883.3.221.5' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/BDRMessageBundleBirthingExample: Bundle.entry[19].resource/*Observation/PrimaryInsuranceExample*/.value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1038
              },
              {
                "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:2.16.840.1.113883.3.221.5' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/BDRMessageBundleBirthingExample: Bundle.entry[19].resource/*Observation/PrimaryInsuranceExample*/.value.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 892
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/BDRMessageBundleBirthingExample: Bundle.entry[16].resource"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/Bundle-BDRMessageBundleExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Bundle-BDRMessageBundleExample",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 161
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 92
              },
              {
                "url": "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/us/vr-common-library/StructureDefinition/Patient-child-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr|2.0.0'"
            },
            "expression": [
              "Bundle/BDRMessageBundleExample: Bundle.entry[3].resource/*Patient/PatientChildExample*/.meta.profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 263
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 99
              },
              {
                "url": "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/us/vr-common-library/StructureDefinition/RelatedPerson-mother-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-mother-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-mother-vr|2.0.0'"
            },
            "expression": [
              "Bundle/BDRMessageBundleExample: Bundle.entry[4].resource/*RelatedPerson/MotherRelatedPersonExample*/.meta.profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 330
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 107
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/us/vr-common-library/StructureDefinition/RelatedPerson-father-natural-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-father-natural-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-father-natural-vr|2.0.0'"
            },
            "expression": [
              "Bundle/BDRMessageBundleExample: Bundle.entry[5].resource/*RelatedPerson/FatherRelatedPersonExample*/.meta.profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 397
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 106
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/us/vr-common-library/StructureDefinition/Observation-education-level-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-education-level-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-education-level-vr|2.0.0'"
            },
            "expression": [
              "Bundle/BDRMessageBundleExample: Bundle.entry[6].resource/*Observation/MotherEducationExample*/.meta.profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 441
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 106
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/us/vr-common-library/StructureDefinition/Observation-education-level-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-education-level-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-education-level-vr|2.0.0'"
            },
            "expression": [
              "Bundle/BDRMessageBundleExample: Bundle.entry[7].resource/*Observation/FatherEducationExample*/.meta.profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 390
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Bundle_BUNDLE_Entry_Orphan_MESSAGE"
              }
            ],
            "severity": "warning",
            "code": "informational",
            "details": {
              "text": "Entry 'http://acme.com/ehr/fhir/Observation/MotherEducationExample' isn't reachable by traversing links (forward or backward) from the MessageHeader, so its presence should be reviewed (is it needed to process the message?)"
            },
            "expression": [
              "Bundle/BDRMessageBundleExample: Bundle.entry[7]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 434
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Bundle_BUNDLE_Entry_Orphan_MESSAGE"
              }
            ],
            "severity": "warning",
            "code": "informational",
            "details": {
              "text": "Entry 'http://acme.com/ehr/fhir/Observation/FatherEducationExample' isn't reachable by traversing links (forward or backward) from the MessageHeader, so its presence should be reviewed (is it needed to process the message?)"
            },
            "expression": [
              "Bundle/BDRMessageBundleExample: Bundle.entry[8]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/CodeSystem-CodeSystem-local-bdr-codes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-CodeSystem-local-bdr-codes",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3841
              },
              {
                "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-bdr-codes: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/Condition-ReportableDiagnosisBirthingExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-ReportableDiagnosisBirthingExample"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/Condition-ReportableDiagnosisExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-ReportableDiagnosisExample"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/DiagnosticReport-DiagnosticGeneticTestResultExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "DiagnosticReport-DiagnosticGeneticTestResultExample",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/us/core/StructureDefinition/us-core-diagnosticreport-lab'. 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 '7.0.0', found versions: 5.0.1, 7.0.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab' to 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab|7.0.0'"
            },
            "expression": [
              "DiagnosticReport/DiagnosticGeneticTestResultExample: DiagnosticReport.meta.profile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/DiagnosticReport-DiagnosticReportExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "DiagnosticReport-DiagnosticReportExample",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/us/core/StructureDefinition/us-core-diagnosticreport-lab'. 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 '7.0.0', found versions: 5.0.1, 7.0.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab' to 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab|7.0.0'"
            },
            "expression": [
              "DiagnosticReport/DiagnosticReportExample: DiagnosticReport.meta.profile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/Encounter-EncounterDeliveryExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Encounter-EncounterDeliveryExample",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 74
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter'. 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 '7.0.0', found versions: 5.0.1, 7.0.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter' to 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter|7.0.0'"
            },
            "expression": [
              "Encounter/EncounterDeliveryExample: Encounter.meta.profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 55
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://xyzhospital.smarthealthit.org'"
            },
            "expression": [
              "Encounter/EncounterDeliveryExample: Encounter.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/MessageHeader-BDRMessageHeaderBirthingExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MessageHeader-BDRMessageHeaderBirthingExample"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/MessageHeader-BDRMessageHeaderExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MessageHeader-BDRMessageHeaderExample"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/Observation-AdmissionToNicuExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-AdmissionToNicuExample"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/Observation-ApgarFiveMinuteExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ApgarFiveMinuteExample"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/Observation-ApgarTenMinuteExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ApgarTenMinuteExample"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/Observation-BirthHeightExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-BirthHeightExample",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 76
              },
              {
                "url": "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/us/core/StructureDefinition/us-core-body-height'. 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 '7.0.0', found versions: 5.0.1, 7.0.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-height' to 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-body-height|7.0.0'"
            },
            "expression": [
              "Observation/BirthHeightExample: Observation.meta.profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/BirthHeightExample: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/Observation-BirthWeightExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-BirthWeightExample"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/Observation-BirthsNowDeadExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-BirthsNowDeadExample"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/Observation-BirthsNowLivingExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-BirthsNowLivingExample"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/Observation-FatherEducationBirthingExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-FatherEducationBirthingExample",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 100
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-education-level-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-education-level-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-education-level-vr|2.0.0'"
            },
            "expression": [
              "Observation/FatherEducationBirthingExample: Observation.meta.profile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/Observation-FatherEducationExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-FatherEducationExample",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 100
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-education-level-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-education-level-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-education-level-vr|2.0.0'"
            },
            "expression": [
              "Observation/FatherEducationExample: Observation.meta.profile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/Observation-FetalDeathsExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-FetalDeathsExample"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/Observation-GestationalAgeExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-GestationalAgeExample"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/Observation-HeadCircumferenceExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-HeadCircumferenceExample",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 83
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/us/core/StructureDefinition/us-core-head-circumference'. 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 '7.0.0', found versions: 5.0.1, 7.0.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-head-circumference' to 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-head-circumference|7.0.0'"
            },
            "expression": [
              "Observation/HeadCircumferenceExample: Observation.meta.profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/HeadCircumferenceExample: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/Observation-InfantLivingBirthingExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-InfantLivingBirthingExample"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/Observation-InfantLivingExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-InfantLivingExample"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/Observation-LMPExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-LMPExample"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/Observation-LaborOnsetExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-LaborOnsetExample"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/Observation-LiveBirthsThisPregnancyExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-LiveBirthsThisPregnancyExample"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/Observation-MotherAlcoholUseBirthingExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-MotherAlcoholUseBirthingExample"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/Observation-MotherAlcoholUseExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-MotherAlcoholUseExample"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/Observation-MotherDeliveryWeightExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-MotherDeliveryWeightExample"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/Observation-MotherDrugUseBirthingExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-MotherDrugUseBirthingExample"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/Observation-MotherEducationBirthingExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-MotherEducationBirthingExample",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 100
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-education-level-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-education-level-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-education-level-vr|2.0.0'"
            },
            "expression": [
              "Observation/MotherEducationBirthingExample: Observation.meta.profile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/Observation-MotherEducationExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-MotherEducationExample",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 100
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-education-level-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-education-level-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Observation-education-level-vr|2.0.0'"
            },
            "expression": [
              "Observation/MotherEducationExample: Observation.meta.profile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/Observation-MotherExposureBirthingExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-MotherExposureBirthingExample"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/Observation-MotherHeightExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-MotherHeightExample"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/Observation-MotherPrepregnancyWeightExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-MotherPrepregnancyWeightExample"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/Observation-ObservationChromosomeExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ObservationChromosomeExample",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/ObservationChromosomeExample: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/Observation-ObservationInterpretationExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ObservationInterpretationExample",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/ObservationInterpretationExample: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/Observation-OtherOutcomesExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-OtherOutcomesExample"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/Observation-PluralityExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-PluralityExample"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/Observation-PregnancyOutcomeExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-PregnancyOutcomeExample"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/Observation-PrenatalVisitsExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-PrenatalVisitsExample"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/Observation-PreviousCesareansExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-PreviousCesareansExample"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/Observation-PreviousPretermBirthsExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-PreviousPretermBirthsExample"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/Observation-PrimaryInsuranceExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-PrimaryInsuranceExample",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 27
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.3.221.5' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/PrimaryInsuranceExample: Observation.value.ofType(CodeableConcept).coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/Observation-TotalPregnanciesExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-TotalPregnanciesExample"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/Observation-cbcLeukocytesExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-cbcLeukocytesExample",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 80
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/us/core/StructureDefinition/us-core-observation-lab'. 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 '7.0.0', found versions: 5.0.1, 7.0.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab' to 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab|7.0.0'"
            },
            "expression": [
              "Observation/cbcLeukocytesExample: Observation.meta.profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/cbcLeukocytesExample: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/Organization-ClinicSubmitterExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Organization-ClinicSubmitterExample"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/Organization-HospitalSubmitterExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Organization-HospitalSubmitterExample"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/Patient-MotherPatientExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Patient-MotherPatientExample",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 87
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/us/vr-common-library/StructureDefinition/Patient-mother-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-mother-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-mother-vr|2.0.0'"
            },
            "expression": [
              "Patient/MotherPatientExample: Patient.meta.profile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/Patient-PatientChildExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Patient-PatientChildExample",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 86
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/us/vr-common-library/StructureDefinition/Patient-child-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr|2.0.0'"
            },
            "expression": [
              "Patient/PatientChildExample: Patient.meta.profile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/Patient-PatientNewbornExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Patient-PatientNewbornExample",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 86
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/us/vr-common-library/StructureDefinition/Patient-child-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr|2.0.0'"
            },
            "expression": [
              "Patient/PatientNewbornExample: Patient.meta.profile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/Practitioner-practitioner-joe-smith",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Practitioner-practitioner-joe-smith",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 85
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/us/vr-common-library/StructureDefinition/Practitioner-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Practitioner-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Practitioner-vr|2.0.0'"
            },
            "expression": [
              "Practitioner/practitioner-joe-smith: Practitioner.meta.profile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/Procedure-ConfirmatoryTestExampleWES",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-ConfirmatoryTestExampleWES"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/Procedure-procedure-postnatal-echo-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-procedure-postnatal-echo-example"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/RelatedPerson-FatherRelatedPersonBirthingExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "RelatedPerson-FatherRelatedPersonBirthingExample",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 101
              },
              {
                "url": "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/us/vr-common-library/StructureDefinition/RelatedPerson-father-natural-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-father-natural-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-father-natural-vr|2.0.0'"
            },
            "expression": [
              "RelatedPerson/FatherRelatedPersonBirthingExample: RelatedPerson.meta.profile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/RelatedPerson-FatherRelatedPersonExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "RelatedPerson-FatherRelatedPersonExample",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 101
              },
              {
                "url": "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/us/vr-common-library/StructureDefinition/RelatedPerson-father-natural-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-father-natural-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-father-natural-vr|2.0.0'"
            },
            "expression": [
              "RelatedPerson/FatherRelatedPersonExample: RelatedPerson.meta.profile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/RelatedPerson-MotherRelatedPersonBirthingExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "RelatedPerson-MotherRelatedPersonBirthingExample",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 93
              },
              {
                "url": "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/us/vr-common-library/StructureDefinition/RelatedPerson-mother-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-mother-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-mother-vr|2.0.0'"
            },
            "expression": [
              "RelatedPerson/MotherRelatedPersonBirthingExample: RelatedPerson.meta.profile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/RelatedPerson-MotherRelatedPersonExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "RelatedPerson-MotherRelatedPersonExample",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 93
              },
              {
                "url": "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/us/vr-common-library/StructureDefinition/RelatedPerson-mother-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-mother-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-mother-vr|2.0.0'"
            },
            "expression": [
              "RelatedPerson/MotherRelatedPersonExample: RelatedPerson.meta.profile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/RelatedPerson-ResponsiblePartyExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "RelatedPerson-ResponsiblePartyExample"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/Specimen-Specimen1Example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Specimen-Specimen1Example"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/StructureDefinition-Procedure-post-natal-echo",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Procedure-post-natal-echo",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17173
              },
              {
                "url": "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/us/core/StructureDefinition/us-core-procedure'. 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 '7.0.0', found versions: 5.0.1, 7.0.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure' to 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure|7.0.0'"
            },
            "expression": [
              "StructureDefinition/Procedure-post-natal-echo: StructureDefinition.baseDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20862
              },
              {
                "url": "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/us/core/StructureDefinition/us-core-procedure'. 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 '7.0.0', found versions: 5.0.1, 7.0.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure' to 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure|7.0.0'"
            },
            "expression": [
              "StructureDefinition/Procedure-post-natal-echo: StructureDefinition.snapshot.element[0].constraint[5].source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 36377
              },
              {
                "url": "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/us/core/StructureDefinition/us-core-careplan'. 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 '7.0.0', found versions: 5.0.1, 7.0.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan' to 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan|7.0.0'"
            },
            "expression": [
              "StructureDefinition/Procedure-post-natal-echo: StructureDefinition.snapshot.element[12].type[0].targetProfile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 36450
              },
              {
                "url": "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/us/core/StructureDefinition/us-core-servicerequest'. 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 '7.0.0', found versions: 5.0.1, 7.0.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest' to 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest|7.0.0'"
            },
            "expression": [
              "StructureDefinition/Procedure-post-natal-echo: StructureDefinition.snapshot.element[12].type[0].targetProfile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 43333
              },
              {
                "url": "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/us/core/ValueSet/us-core-procedure-code'. 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 '7.0.0', found versions: 5.0.1, 7.0.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code' to 'http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code|7.0.0'"
            },
            "expression": [
              "StructureDefinition/Procedure-post-natal-echo: StructureDefinition.snapshot.element[17].binding.extension[0].extension[1].value.ofType(canonical)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 43595
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding#ext-ab-1"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: ext-ab-1: 'Additional Bindings SHOULD have a key to allow a binding to be constrained.'"
            },
            "expression": [
              "StructureDefinition/Procedure-post-natal-echo: StructureDefinition.snapshot.element[17].binding.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 43748
              },
              {
                "url": "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/us/core/ValueSet/us-core-procedure-code'. 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 '7.0.0', found versions: 5.0.1, 7.0.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code' to 'http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code|7.0.0'"
            },
            "expression": [
              "StructureDefinition/Procedure-post-natal-echo: StructureDefinition.snapshot.element[17].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44371
              },
              {
                "url": "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/us/vr-common-library/StructureDefinition/Patient-child-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr|2.0.0'"
            },
            "expression": [
              "StructureDefinition/Procedure-post-natal-echo: StructureDefinition.snapshot.element[18].type[0].targetProfile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 45644
              },
              {
                "url": "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/us/core/StructureDefinition/us-core-encounter'. 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 '7.0.0', found versions: 5.0.1, 7.0.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter' to 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter|7.0.0'"
            },
            "expression": [
              "StructureDefinition/Procedure-post-natal-echo: StructureDefinition.snapshot.element[19].type[0].targetProfile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 61296
              },
              {
                "url": "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/us/core/ValueSet/us-core-condition-code'. 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 '7.0.0', found versions: 5.0.1, 7.0.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code' to 'http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code|7.0.0'"
            },
            "expression": [
              "StructureDefinition/Procedure-post-natal-echo: StructureDefinition.snapshot.element[31].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 81421
              },
              {
                "url": "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/us/vr-common-library/StructureDefinition/Patient-child-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr|2.0.0'"
            },
            "expression": [
              "StructureDefinition/Procedure-post-natal-echo: StructureDefinition.differential.element[2].type[0].targetProfile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/StructureDefinition-bdr-bundle",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-bdr-bundle"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/StructureDefinition-bdr-confirmatorytest",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-bdr-confirmatorytest",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12240
              },
              {
                "url": "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/us/core/StructureDefinition/us-core-procedure'. 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 '7.0.0', found versions: 5.0.1, 7.0.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure' to 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure|7.0.0'"
            },
            "expression": [
              "StructureDefinition/bdr-confirmatorytest: StructureDefinition.baseDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15929
              },
              {
                "url": "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/us/core/StructureDefinition/us-core-procedure'. 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 '7.0.0', found versions: 5.0.1, 7.0.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure' to 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure|7.0.0'"
            },
            "expression": [
              "StructureDefinition/bdr-confirmatorytest: StructureDefinition.snapshot.element[0].constraint[5].source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31444
              },
              {
                "url": "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/us/core/StructureDefinition/us-core-careplan'. 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 '7.0.0', found versions: 5.0.1, 7.0.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan' to 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan|7.0.0'"
            },
            "expression": [
              "StructureDefinition/bdr-confirmatorytest: StructureDefinition.snapshot.element[12].type[0].targetProfile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31517
              },
              {
                "url": "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/us/core/StructureDefinition/us-core-servicerequest'. 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 '7.0.0', found versions: 5.0.1, 7.0.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest' to 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest|7.0.0'"
            },
            "expression": [
              "StructureDefinition/bdr-confirmatorytest: StructureDefinition.snapshot.element[12].type[0].targetProfile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 38261
              },
              {
                "url": "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/us/core/ValueSet/us-core-procedure-code'. 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 '7.0.0', found versions: 5.0.1, 7.0.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code' to 'http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code|7.0.0'"
            },
            "expression": [
              "StructureDefinition/bdr-confirmatorytest: StructureDefinition.snapshot.element[17].binding.extension[0].extension[1].value.ofType(canonical)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 38523
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding#ext-ab-1"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: ext-ab-1: 'Additional Bindings SHOULD have a key to allow a binding to be constrained.'"
            },
            "expression": [
              "StructureDefinition/bdr-confirmatorytest: StructureDefinition.snapshot.element[17].binding.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 39249
              },
              {
                "url": "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/us/vr-common-library/StructureDefinition/Patient-child-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr|2.0.0'"
            },
            "expression": [
              "StructureDefinition/bdr-confirmatorytest: StructureDefinition.snapshot.element[18].type[0].targetProfile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 40522
              },
              {
                "url": "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/us/core/StructureDefinition/us-core-encounter'. 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 '7.0.0', found versions: 5.0.1, 7.0.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter' to 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter|7.0.0'"
            },
            "expression": [
              "StructureDefinition/bdr-confirmatorytest: StructureDefinition.snapshot.element[19].type[0].targetProfile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 56174
              },
              {
                "url": "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/us/core/ValueSet/us-core-condition-code'. 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 '7.0.0', found versions: 5.0.1, 7.0.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code' to 'http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code|7.0.0'"
            },
            "expression": [
              "StructureDefinition/bdr-confirmatorytest: StructureDefinition.snapshot.element[31].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 76194
              },
              {
                "url": "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/us/vr-common-library/StructureDefinition/Patient-child-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr|2.0.0'"
            },
            "expression": [
              "StructureDefinition/bdr-confirmatorytest: StructureDefinition.differential.element[1].type[0].targetProfile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/StructureDefinition-bdr-messageheader",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-bdr-messageheader"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/StructureDefinition-bdr-newbornprocedure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-bdr-newbornprocedure",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12339
              },
              {
                "url": "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/us/core/StructureDefinition/us-core-procedure'. 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 '7.0.0', found versions: 5.0.1, 7.0.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure' to 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure|7.0.0'"
            },
            "expression": [
              "StructureDefinition/bdr-newbornprocedure: StructureDefinition.baseDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16028
              },
              {
                "url": "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/us/core/StructureDefinition/us-core-procedure'. 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 '7.0.0', found versions: 5.0.1, 7.0.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure' to 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure|7.0.0'"
            },
            "expression": [
              "StructureDefinition/bdr-newbornprocedure: StructureDefinition.snapshot.element[0].constraint[5].source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31543
              },
              {
                "url": "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/us/core/StructureDefinition/us-core-careplan'. 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 '7.0.0', found versions: 5.0.1, 7.0.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan' to 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-careplan|7.0.0'"
            },
            "expression": [
              "StructureDefinition/bdr-newbornprocedure: StructureDefinition.snapshot.element[12].type[0].targetProfile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31616
              },
              {
                "url": "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/us/core/StructureDefinition/us-core-servicerequest'. 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 '7.0.0', found versions: 5.0.1, 7.0.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest' to 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-servicerequest|7.0.0'"
            },
            "expression": [
              "StructureDefinition/bdr-newbornprocedure: StructureDefinition.snapshot.element[12].type[0].targetProfile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 38360
              },
              {
                "url": "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/us/core/ValueSet/us-core-procedure-code'. 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 '7.0.0', found versions: 5.0.1, 7.0.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code' to 'http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code|7.0.0'"
            },
            "expression": [
              "StructureDefinition/bdr-newbornprocedure: StructureDefinition.snapshot.element[17].binding.extension[0].extension[1].value.ofType(canonical)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 38622
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding#ext-ab-1"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: ext-ab-1: 'Additional Bindings SHOULD have a key to allow a binding to be constrained.'"
            },
            "expression": [
              "StructureDefinition/bdr-newbornprocedure: StructureDefinition.snapshot.element[17].binding.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 39354
              },
              {
                "url": "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/us/vr-common-library/StructureDefinition/Patient-child-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr|2.0.0'"
            },
            "expression": [
              "StructureDefinition/bdr-newbornprocedure: StructureDefinition.snapshot.element[18].type[0].targetProfile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 40627
              },
              {
                "url": "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/us/core/StructureDefinition/us-core-encounter'. 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 '7.0.0', found versions: 5.0.1, 7.0.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter' to 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter|7.0.0'"
            },
            "expression": [
              "StructureDefinition/bdr-newbornprocedure: StructureDefinition.snapshot.element[19].type[0].targetProfile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 56279
              },
              {
                "url": "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/us/core/ValueSet/us-core-condition-code'. 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 '7.0.0', found versions: 5.0.1, 7.0.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code' to 'http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code|7.0.0'"
            },
            "expression": [
              "StructureDefinition/bdr-newbornprocedure: StructureDefinition.snapshot.element[31].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 76343
              },
              {
                "url": "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/us/vr-common-library/StructureDefinition/Patient-child-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr|2.0.0'"
            },
            "expression": [
              "StructureDefinition/bdr-newbornprocedure: StructureDefinition.differential.element[2].type[0].targetProfile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this profile"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://hl7.org/fhir/us/birthdefectreporting/StructureDefinition/bdr-newbornprocedure')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/StructureDefinition-bdr-organization",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-bdr-organization",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12970
              },
              {
                "url": "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/us/core/StructureDefinition/us-core-organization'. 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 '7.0.0', found versions: 5.0.1, 7.0.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization' to 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization|7.0.0'"
            },
            "expression": [
              "StructureDefinition/bdr-organization: StructureDefinition.baseDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 60592
              },
              {
                "url": "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/us/core/ValueSet/us-core-usps-state'. 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 '7.0.0', found versions: 5.0.1, 7.0.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state' to 'http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state|7.0.0'"
            },
            "expression": [
              "StructureDefinition/bdr-organization: StructureDefinition.snapshot.element[34].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 74615
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The slice 'CLIA' on path 'Organization.identifier' is not marked as 'must-support' which is not consistent with the element that defines the slicing, where 'must-support' is true"
            },
            "expression": [
              "StructureDefinition/bdr-organization: StructureDefinition.snapshot"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 74615
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The slice 'NAIC' on path 'Organization.identifier' is not marked as 'must-support' which is not consistent with the element that defines the slicing, where 'must-support' is true"
            },
            "expression": [
              "StructureDefinition/bdr-organization: StructureDefinition.snapshot"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/StructureDefinition-bdr-relatedpersonresponsibleparty",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-bdr-relatedpersonresponsibleparty"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/StructureDefinition-bdr-reportablediagnosis",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-bdr-reportablediagnosis",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28070
              },
              {
                "url": "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/us/core/StructureDefinition/us-core-condition-encounter-diagnosis'. 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 '7.0.0', found versions: 5.0.1, 7.0.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis' to 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis|7.0.0'"
            },
            "expression": [
              "StructureDefinition/bdr-reportablediagnosis: StructureDefinition.baseDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42747
              },
              {
                "url": "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 '5.2.0', found versions: 1.0.0, 4.0.1, 5.1.0, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate' to 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate|5.2.0'"
            },
            "expression": [
              "StructureDefinition/bdr-reportablediagnosis: 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": 55750
              },
              {
                "url": "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/us/core/ValueSet/us-core-condition-code'. 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 '7.0.0', found versions: 5.0.1, 7.0.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code' to 'http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code|7.0.0'"
            },
            "expression": [
              "StructureDefinition/bdr-reportablediagnosis: StructureDefinition.snapshot.element[16].binding.extension[0].extension[1].value.ofType(canonical)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 56012
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/tools/StructureDefinition/additional-binding#ext-ab-1"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: ext-ab-1: 'Additional Bindings SHOULD have a key to allow a binding to be constrained.'"
            },
            "expression": [
              "StructureDefinition/bdr-reportablediagnosis: StructureDefinition.snapshot.element[16].binding.extension[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 58747
              },
              {
                "url": "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/us/vr-common-library/StructureDefinition/Patient-child-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr|2.0.0'"
            },
            "expression": [
              "StructureDefinition/bdr-reportablediagnosis: StructureDefinition.snapshot.element[18].type[0].targetProfile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 60289
              },
              {
                "url": "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/us/core/StructureDefinition/us-core-encounter'. 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 '7.0.0', found versions: 5.0.1, 7.0.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter' to 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter|7.0.0'"
            },
            "expression": [
              "StructureDefinition/bdr-reportablediagnosis: StructureDefinition.snapshot.element[19].type[0].targetProfile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 99432
              },
              {
                "url": "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/us/core/StructureDefinition/us-core-condition-problems-health-concerns'. 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 '7.0.0', found versions: 5.0.1, 7.0.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns' to 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns|7.0.0'"
            },
            "expression": [
              "StructureDefinition/bdr-reportablediagnosis: StructureDefinition.snapshot.element[49].type[0].targetProfile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 101245
              },
              {
                "url": "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/us/vr-common-library/StructureDefinition/Patient-child-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr|2.0.0'"
            },
            "expression": [
              "StructureDefinition/bdr-reportablediagnosis: StructureDefinition.differential.element[3].type[0].targetProfile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 102387
              },
              {
                "url": "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/us/core/StructureDefinition/us-core-condition-problems-health-concerns'. 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 '7.0.0', found versions: 5.0.1, 7.0.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns' to 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns|7.0.0'"
            },
            "expression": [
              "StructureDefinition/bdr-reportablediagnosis: StructureDefinition.differential.element[9].type[0].targetProfile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/StructureDefinition-observation-cause-of-death",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-observation-cause-of-death",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 45501
              },
              {
                "url": "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/us/vr-common-library/StructureDefinition/Patient-child-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr|2.0.0'"
            },
            "expression": [
              "StructureDefinition/observation-cause-of-death: StructureDefinition.snapshot.element[15].type[0].targetProfile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 97472
              },
              {
                "url": "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/us/vr-common-library/StructureDefinition/Patient-child-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr|2.0.0'"
            },
            "expression": [
              "StructureDefinition/observation-cause-of-death: StructureDefinition.differential.element[2].type[0].targetProfile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this profile"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://hl7.org/fhir/us/birthdefectreporting/StructureDefinition/observation-cause-of-death')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/StructureDefinition-observation-location-of-death",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-observation-location-of-death",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44684
              },
              {
                "url": "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/us/vr-common-library/StructureDefinition/Patient-child-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr|2.0.0'"
            },
            "expression": [
              "StructureDefinition/observation-location-of-death: StructureDefinition.snapshot.element[15].type[0].targetProfile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 96531
              },
              {
                "url": "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/us/vr-common-library/StructureDefinition/Patient-child-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr|2.0.0'"
            },
            "expression": [
              "StructureDefinition/observation-location-of-death: StructureDefinition.differential.element[2].type[0].targetProfile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this profile"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://hl7.org/fhir/us/birthdefectreporting/StructureDefinition/observation-location-of-death')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/StructureDefinition-observation-mother-alcohol-use",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-observation-mother-alcohol-use",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 46598
              },
              {
                "url": "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/us/vr-common-library/StructureDefinition/Patient-child-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr|2.0.0'"
            },
            "expression": [
              "StructureDefinition/observation-mother-alcohol-use: StructureDefinition.snapshot.element[15].type[0].targetProfile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48724
              },
              {
                "url": "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/us/vr-common-library/StructureDefinition/RelatedPerson-mother-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-mother-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-mother-vr|2.0.0'"
            },
            "expression": [
              "StructureDefinition/observation-mother-alcohol-use: StructureDefinition.snapshot.element[16].type[0].targetProfile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 98489
              },
              {
                "url": "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/us/vr-common-library/StructureDefinition/Patient-child-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr|2.0.0'"
            },
            "expression": [
              "StructureDefinition/observation-mother-alcohol-use: StructureDefinition.differential.element[2].type[0].targetProfile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 98696
              },
              {
                "url": "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/us/vr-common-library/StructureDefinition/RelatedPerson-mother-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-mother-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-mother-vr|2.0.0'"
            },
            "expression": [
              "StructureDefinition/observation-mother-alcohol-use: StructureDefinition.differential.element[3].type[0].targetProfile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/StructureDefinition-observation-mother-drug-use",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-observation-mother-drug-use",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 47403
              },
              {
                "url": "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/us/vr-common-library/StructureDefinition/Patient-child-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr|2.0.0'"
            },
            "expression": [
              "StructureDefinition/observation-mother-drug-use: StructureDefinition.snapshot.element[15].type[0].targetProfile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 49529
              },
              {
                "url": "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/us/vr-common-library/StructureDefinition/RelatedPerson-mother-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-mother-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-mother-vr|2.0.0'"
            },
            "expression": [
              "StructureDefinition/observation-mother-drug-use: StructureDefinition.snapshot.element[16].type[0].targetProfile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 99415
              },
              {
                "url": "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/us/vr-common-library/StructureDefinition/Patient-child-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr|2.0.0'"
            },
            "expression": [
              "StructureDefinition/observation-mother-drug-use: StructureDefinition.differential.element[2].type[0].targetProfile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 99622
              },
              {
                "url": "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/us/vr-common-library/StructureDefinition/RelatedPerson-mother-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-mother-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-mother-vr|2.0.0'"
            },
            "expression": [
              "StructureDefinition/observation-mother-drug-use: StructureDefinition.differential.element[3].type[0].targetProfile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/StructureDefinition-observation-mother-exposure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-observation-mother-exposure",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 47571
              },
              {
                "url": "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/us/vr-common-library/StructureDefinition/Patient-child-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr|2.0.0'"
            },
            "expression": [
              "StructureDefinition/observation-mother-exposure: StructureDefinition.snapshot.element[15].type[0].targetProfile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 49697
              },
              {
                "url": "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/us/vr-common-library/StructureDefinition/RelatedPerson-mother-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-mother-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-mother-vr|2.0.0'"
            },
            "expression": [
              "StructureDefinition/observation-mother-exposure: StructureDefinition.snapshot.element[16].type[0].targetProfile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 99583
              },
              {
                "url": "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/us/vr-common-library/StructureDefinition/Patient-child-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr|2.0.0'"
            },
            "expression": [
              "StructureDefinition/observation-mother-exposure: StructureDefinition.differential.element[2].type[0].targetProfile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 99790
              },
              {
                "url": "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/us/vr-common-library/StructureDefinition/RelatedPerson-mother-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-mother-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/RelatedPerson-mother-vr|2.0.0'"
            },
            "expression": [
              "StructureDefinition/observation-mother-exposure: StructureDefinition.differential.element[3].type[0].targetProfile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/StructureDefinition-observation-mother-insurance",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-observation-mother-insurance",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 45548
              },
              {
                "url": "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/us/vr-common-library/StructureDefinition/Patient-mother-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-mother-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-mother-vr|2.0.0'"
            },
            "expression": [
              "StructureDefinition/observation-mother-insurance: StructureDefinition.snapshot.element[15].type[0].targetProfile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 97520
              },
              {
                "url": "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/us/vr-common-library/StructureDefinition/Patient-mother-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-mother-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-mother-vr|2.0.0'"
            },
            "expression": [
              "StructureDefinition/observation-mother-insurance: StructureDefinition.differential.element[2].type[0].targetProfile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/StructureDefinition-observation-mother-labor-onset",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-observation-mother-labor-onset",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 45343
              },
              {
                "url": "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/us/vr-common-library/StructureDefinition/Patient-mother-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-mother-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-mother-vr|2.0.0'"
            },
            "expression": [
              "StructureDefinition/observation-mother-labor-onset: StructureDefinition.snapshot.element[15].type[0].targetProfile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 97313
              },
              {
                "url": "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/us/vr-common-library/StructureDefinition/Patient-mother-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-mother-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-mother-vr|2.0.0'"
            },
            "expression": [
              "StructureDefinition/observation-mother-labor-onset: StructureDefinition.differential.element[2].type[0].targetProfile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/StructureDefinition-observation-pregnancy-outcome",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-observation-pregnancy-outcome",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 45324
              },
              {
                "url": "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/us/vr-common-library/StructureDefinition/Patient-child-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr|2.0.0'"
            },
            "expression": [
              "StructureDefinition/observation-pregnancy-outcome: StructureDefinition.snapshot.element[15].type[0].targetProfile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 97293
              },
              {
                "url": "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/us/vr-common-library/StructureDefinition/Patient-child-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-child-vr|2.0.0'"
            },
            "expression": [
              "StructureDefinition/observation-pregnancy-outcome: StructureDefinition.differential.element[2].type[0].targetProfile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/StructureDefinition-observation-previous-preterm-births",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-observation-previous-preterm-births",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44919
              },
              {
                "url": "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/us/vr-common-library/StructureDefinition/Patient-mother-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-mother-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-mother-vr|2.0.0'"
            },
            "expression": [
              "StructureDefinition/observation-previous-preterm-births: StructureDefinition.snapshot.element[15].type[0].targetProfile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 96768
              },
              {
                "url": "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/us/vr-common-library/StructureDefinition/Patient-mother-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-mother-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-mother-vr|2.0.0'"
            },
            "expression": [
              "StructureDefinition/observation-previous-preterm-births: StructureDefinition.differential.element[2].type[0].targetProfile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/StructureDefinition-observation-total-pregnancies",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-observation-total-pregnancies",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44723
              },
              {
                "url": "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/us/vr-common-library/StructureDefinition/Patient-mother-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-mother-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-mother-vr|2.0.0'"
            },
            "expression": [
              "StructureDefinition/observation-total-pregnancies: StructureDefinition.snapshot.element[15].type[0].targetProfile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 96572
              },
              {
                "url": "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/us/vr-common-library/StructureDefinition/Patient-mother-vr'. 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 '2.0.0', found versions: 2.0.0, 2.0.0-ballot. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-mother-vr' to 'http://hl7.org/fhir/us/vr-common-library/StructureDefinition/Patient-mother-vr|2.0.0'"
            },
            "expression": [
              "StructureDefinition/observation-total-pregnancies: StructureDefinition.differential.element[2].type[0].targetProfile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/ValueSet-ValueSet-admission-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ValueSet-admission-status"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/ValueSet-ValueSet-discharged-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ValueSet-discharged-status"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/ValueSet-ValueSet-patient-location-types",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ValueSet-patient-location-types"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/ValueSet-ValueSet-units-of-age",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ValueSet-units-of-age"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/ValueSet-bdr-eventtypes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-bdr-eventtypes"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/birthdefectreporting/OperationOutcome/ValueSet-bdr-procedurelist",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-bdr-procedurelist",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2947
              },
              {
                "url": "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://snomed.info/sct/731000124108'"
            },
            "expression": [
              "ValueSet/bdr-procedurelist: ValueSet.compose.include[1].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3132
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://phinvads.cdc.gov/vads/ViewValueSet.action?id=3DBDA20B-9C63-E411-A174-0017A477041A'"
            },
            "expression": [
              "ValueSet/bdr-procedurelist: ValueSet.compose.include[2].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3339
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://phinvads.cdc.gov/vads/ViewValueSet.action?id=5D073DA7-9C63-E411-A174-0017A477041A'"
            },
            "expression": [
              "ValueSet/bdr-procedurelist: ValueSet.compose.include[3].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "exception",
            "details": {
              "text": "Error from https://tx.fhir.org/r4: Unable to provide support for code system http://snomed.info/sct/731000124108"
            },
            "expression": [
              "ValueSet.where(id = 'bdr-procedurelist')"
            ]
          }
        ]
      }
    }
  ]
}