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FHIR IG analytics

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

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Source1

{
  "resourceType": "Bundle",
  "type": "collection",
  "timestamp": "2025-10-02T18:48:08.430+00:00",
  "entry": [
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/ImplementationGuide-hl7.fhir.us.cancer-reporting",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ImplementationGuide-hl7.fhir.us.cancer-reporting",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3764
              },
              {
                "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#6.1.0 released on 2023-06-30, 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.cancer-reporting: ImplementationGuide.dependsOn[2]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/Bundle-bundle-us-pathology-exchange",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Bundle-bundle-us-pathology-exchange",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[0].resource.type.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNABLE_TO_CHECK_IF_THE_PROVIDED_CODES_ARE_IN_THE_VALUE_SET_CS"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-form-codes|2.0.0' because the code system http://cap.org/eCC was not found"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[0].resource.type"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[0].resource/*Composition/composition-invasive-carcinoma-of-the-breast*/.type.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 220
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[2].resource/*Observation/observation-section-specimen*/.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 265
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[3].resource/*Observation/observation-section-tumor*/.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 333
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[4].resource/*Observation/observation-section-lymph-nodes*/.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 381
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[5].resource/*Observation/observation-section-margins*/.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 434
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[6].resource/*Observation/observation-section-regional-lymph-nodes*/.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 498
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[7].resource/*Observation/observation-section-distant-metastasis*/.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 540
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[8].resource/*Observation/observation-section-ptnm-classification*/.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 607
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[9].resource/*Observation/observation-section-additional-findings*/.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 660
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[10].resource/*Observation/observation-additional-findings-specify*/.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 702
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[11].resource/*Observation/observation-section-special-studies*/.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 766
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[12].resource/*Observation/observation-section-comments*/.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 814
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[13].resource/*Observation/observation-procedure-breast-excision*/.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 839
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[13].resource/*Observation/observation-procedure-breast-excision*/.value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 839
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNABLE_TO_CHECK_IF_THE_PROVIDED_CODES_ARE_IN_THE_VALUE_SET_CS"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-answer-codes|2.0.0' because the code system http://cap.org/eCC| was not found"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[13].resource/*Observation/observation-procedure-breast-excision*/.value.ofType(CodeableConcept)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 888
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[14].resource/*Observation/observation-specimen-laterality*/.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 908
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[14].resource/*Observation/observation-specimen-laterality*/.value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 908
              },
              {
                "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": "UNABLE_TO_CHECK_IF_THE_PROVIDED_CODES_ARE_IN_THE_VALUE_SET_CS"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-answer-codes|2.0.0' because the code system http://cap.org/eCC| was not found"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[14].resource/*Observation/observation-specimen-laterality*/.value.ofType(CodeableConcept)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 957
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[15].resource/*Observation/observation-tumor-site*/.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1022
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[16].resource/*Observation/observation-clock-position*/.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1047
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              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[16].resource/*Observation/observation-clock-position*/.value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1047
              },
              {
                "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": "UNABLE_TO_CHECK_IF_THE_PROVIDED_CODES_ARE_IN_THE_VALUE_SET_CS"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-answer-codes|2.0.0' because the code system http://cap.org/eCC was not found"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[16].resource/*Observation/observation-clock-position*/.value.ofType(CodeableConcept)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1096
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[17].resource/*Observation/observation-clock-position-8*/.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1121
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[17].resource/*Observation/observation-clock-position-8*/.value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1121
              },
              {
                "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": "UNABLE_TO_CHECK_IF_THE_PROVIDED_CODES_ARE_IN_THE_VALUE_SET_CS"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-answer-codes|2.0.0' because the code system http://cap.org/eCC| was not found"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[17].resource/*Observation/observation-clock-position-8*/.value.ofType(CodeableConcept)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1165
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[18].resource/*Observation/observation-histologic-type*/.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1183
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[18].resource/*Observation/observation-histologic-type*/.value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1183
              },
              {
                "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": "UNABLE_TO_CHECK_IF_THE_PROVIDED_CODES_ARE_IN_THE_VALUE_SET_CS"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-answer-codes|2.0.0' because the code system http://cap.org/eCC was not found"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[18].resource/*Observation/observation-histologic-type*/.value.ofType(CodeableConcept)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1222
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[19].resource/*Observation/observation-histologic-grade*/.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1242
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[19].resource/*Observation/observation-histologic-grade*/.value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1242
              },
              {
                "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": "UNABLE_TO_CHECK_IF_THE_PROVIDED_CODES_ARE_IN_THE_VALUE_SET_CS"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-answer-codes|2.0.0' because the code system http://cap.org/eCC was not found"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[19].resource/*Observation/observation-histologic-grade*/.value.ofType(CodeableConcept)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1300
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[20].resource/*Observation/observation-glandular-differentiation*/.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1320
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[20].resource/*Observation/observation-glandular-differentiation*/.value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1320
              },
              {
                "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": "UNABLE_TO_CHECK_IF_THE_PROVIDED_CODES_ARE_IN_THE_VALUE_SET_CS"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-answer-codes|2.0.0' because the code system http://cap.org/eCC was not found"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[20].resource/*Observation/observation-glandular-differentiation*/.value.ofType(CodeableConcept)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1364
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[21].resource/*Observation/observation-nuclear-pleomorphism*/.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1384
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[21].resource/*Observation/observation-nuclear-pleomorphism*/.value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1384
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNABLE_TO_CHECK_IF_THE_PROVIDED_CODES_ARE_IN_THE_VALUE_SET_CS"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-answer-codes|2.0.0' because the code system http://cap.org/eCC was not found"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[21].resource/*Observation/observation-nuclear-pleomorphism*/.value.ofType(CodeableConcept)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1428
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[22].resource/*Observation/observation-mitotic-rate*/.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1448
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[22].resource/*Observation/observation-mitotic-rate*/.value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1448
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNABLE_TO_CHECK_IF_THE_PROVIDED_CODES_ARE_IN_THE_VALUE_SET_CS"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-answer-codes|2.0.0' because the code system http://cap.org/eCC was not found"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[22].resource/*Observation/observation-mitotic-rate*/.value.ofType(CodeableConcept)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1492
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[23].resource/*Observation/observation-overall-grade*/.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1512
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[23].resource/*Observation/observation-overall-grade*/.value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1512
              },
              {
                "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": "UNABLE_TO_CHECK_IF_THE_PROVIDED_CODES_ARE_IN_THE_VALUE_SET_CS"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-answer-codes|2.0.0' because the code system http://cap.org/eCC was not found"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[23].resource/*Observation/observation-overall-grade*/.value.ofType(CodeableConcept)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1556
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[24].resource/*Observation/observation-tumor-size*/.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1577
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[24].resource/*Observation/observation-tumor-size*/.value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1577
              },
              {
                "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": "UNABLE_TO_CHECK_IF_THE_PROVIDED_CODES_ARE_IN_THE_VALUE_SET_CS"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-answer-codes|2.0.0' because the code system http://cap.org/eCC| was not found"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[24].resource/*Observation/observation-tumor-size*/.value.ofType(CodeableConcept)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1631
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[25].resource/*Observation/observation-additional-dimension*/.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1689
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[26].resource/*Observation/observation-tumor-focality*/.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1709
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[26].resource/*Observation/observation-tumor-focality*/.value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1709
              },
              {
                "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": "UNABLE_TO_CHECK_IF_THE_PROVIDED_CODES_ARE_IN_THE_VALUE_SET_CS"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-answer-codes|2.0.0' because the code system http://cap.org/eCC was not found"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[26].resource/*Observation/observation-tumor-focality*/.value.ofType(CodeableConcept)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1753
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[27].resource/*Observation/observation-ductal-carcinoma*/.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1773
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[27].resource/*Observation/observation-ductal-carcinoma*/.value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1773
              },
              {
                "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": "UNABLE_TO_CHECK_IF_THE_PROVIDED_CODES_ARE_IN_THE_VALUE_SET_CS"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-answer-codes|2.0.0' because the code system http://cap.org/eCC| was not found"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[27].resource/*Observation/observation-ductal-carcinoma*/.value.ofType(CodeableConcept)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1822
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[28].resource/*Observation/observation-section-tumor-extent*/.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1877
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[29].resource/*Observation/observation-margins-margin-status-for-invasive-carcinoma*/.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1897
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[29].resource/*Observation/observation-margins-margin-status-for-invasive-carcinoma*/.value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1897
              },
              {
                "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": "UNABLE_TO_CHECK_IF_THE_PROVIDED_CODES_ARE_IN_THE_VALUE_SET_CS"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-answer-codes|2.0.0' because the code system http://cap.org/eCC was not found"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[29].resource/*Observation/observation-margins-margin-status-for-invasive-carcinoma*/.value.ofType(CodeableConcept)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1938
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[30].resource/*Observation/observation-margins-distance-to-closest-margin*/.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1969
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[30].resource/*Observation/observation-margins-distance-to-closest-margin*/.value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1969
              },
              {
                "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": "UNABLE_TO_CHECK_IF_THE_PROVIDED_CODES_ARE_IN_THE_VALUE_SET_CS"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-answer-codes|2.0.0' because the code system http://cap.org/eCC was not found"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[30].resource/*Observation/observation-margins-distance-to-closest-margin*/.value.ofType(CodeableConcept)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2013
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[31].resource/*Observation/observation-margins-closest-margin-to-invasive-carcinoma*/.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2033
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[31].resource/*Observation/observation-margins-closest-margin-to-invasive-carcinoma*/.value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2033
              },
              {
                "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": "UNABLE_TO_CHECK_IF_THE_PROVIDED_CODES_ARE_IN_THE_VALUE_SET_CS"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-answer-codes|2.0.0' because the code system http://cap.org/eCC was not found"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[31].resource/*Observation/observation-margins-closest-margin-to-invasive-carcinoma*/.value.ofType(CodeableConcept)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2077
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[32].resource/*Observation/observation-regional-lymph-node-status*/.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2095
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[32].resource/*Observation/observation-regional-lymph-node-status*/.value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2095
              },
              {
                "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": "UNABLE_TO_CHECK_IF_THE_PROVIDED_CODES_ARE_IN_THE_VALUE_SET_CS"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-answer-codes|2.0.0' because the code system http://cap.org/eCC was not found"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[32].resource/*Observation/observation-regional-lymph-node-status*/.value.ofType(CodeableConcept)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2156
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[33].resource/*Observation/observation-regional-lymph-nodes-number-examined*/.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2165
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[33].resource/*Observation/observation-regional-lymph-nodes-number-examined*/.value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2165
              },
              {
                "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": "UNABLE_TO_CHECK_IF_THE_PROVIDED_CODES_ARE_IN_THE_VALUE_SET_CS"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-answer-codes|2.0.0' because the code system http://cap.org/eCC was not found"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[33].resource/*Observation/observation-regional-lymph-nodes-number-examined*/.value.ofType(CodeableConcept)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2218
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[34].resource/*Observation/observation-regional-lymph-nodes-number-sentinel*/.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2227
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[34].resource/*Observation/observation-regional-lymph-nodes-number-sentinel*/.value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2227
              },
              {
                "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": "UNABLE_TO_CHECK_IF_THE_PROVIDED_CODES_ARE_IN_THE_VALUE_SET_CS"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-answer-codes|2.0.0' because the code system http://cap.org/eCC was not found"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[34].resource/*Observation/observation-regional-lymph-nodes-number-sentinel*/.value.ofType(CodeableConcept)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2271
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[35].resource/*Observation/observation-distant-metastasis*/.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2324
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[36].resource/*Observation/observation-distant-metastasis-distant-sites*/.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2342
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[36].resource/*Observation/observation-distant-metastasis-distant-sites*/.value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2342
              },
              {
                "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": "UNABLE_TO_CHECK_IF_THE_PROVIDED_CODES_ARE_IN_THE_VALUE_SET_CS"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-answer-codes|2.0.0' because the code system http://cap.org/eCC was not found"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[36].resource/*Observation/observation-distant-metastasis-distant-sites*/.value.ofType(CodeableConcept)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2386
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[37].resource/*Observation/observation-ptnm-classification-pT-Category*/.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2404
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[37].resource/*Observation/observation-ptnm-classification-pT-Category*/.value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2404
              },
              {
                "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": "UNABLE_TO_CHECK_IF_THE_PROVIDED_CODES_ARE_IN_THE_VALUE_SET_CS"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-answer-codes|2.0.0' because the code system http://cap.org/eCC was not found"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[37].resource/*Observation/observation-ptnm-classification-pT-Category*/.value.ofType(CodeableConcept)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2448
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[38].resource/*Observation/observation-ptnm-classification-pN-Category*/.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2466
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[38].resource/*Observation/observation-ptnm-classification-pN-Category*/.value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2466
              },
              {
                "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": "UNABLE_TO_CHECK_IF_THE_PROVIDED_CODES_ARE_IN_THE_VALUE_SET_CS"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-answer-codes|2.0.0' because the code system http://cap.org/eCC was not found"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[38].resource/*Observation/observation-ptnm-classification-pN-Category*/.value.ofType(CodeableConcept)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2510
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[39].resource/*Observation/observation-special-studies-breast-biomarker*/.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2571
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[40].resource/*Observation/observation-special-studies-estrogen-receptor*/.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2589
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[40].resource/*Observation/observation-special-studies-estrogen-receptor*/.value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2589
              },
              {
                "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": "UNABLE_TO_CHECK_IF_THE_PROVIDED_CODES_ARE_IN_THE_VALUE_SET_CS"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-answer-codes|2.0.0' because the code system http://cap.org/eCC was not found"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[40].resource/*Observation/observation-special-studies-estrogen-receptor*/.value.ofType(CodeableConcept)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2638
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[41].resource/*Observation/observation-special-studies-estrogen-receptor-status*/.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2656
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[41].resource/*Observation/observation-special-studies-estrogen-receptor-status*/.value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2656
              },
              {
                "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": "UNABLE_TO_CHECK_IF_THE_PROVIDED_CODES_ARE_IN_THE_VALUE_SET_CS"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-answer-codes|2.0.0' because the code system http://cap.org/eCC was not found"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[41].resource/*Observation/observation-special-studies-estrogen-receptor-status*/.value.ofType(CodeableConcept)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2700
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[42].resource/*Observation/observation-special-studies-her2*/.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2758
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[43].resource/*Observation/observation-special-studies-negative*/.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[43].resource/*Observation/observation-special-studies-negative*/.value.ofType(CodeableConcept).coding[0].system"
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          },
          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2776
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNABLE_TO_CHECK_IF_THE_PROVIDED_CODES_ARE_IN_THE_VALUE_SET_CS"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-answer-codes|2.0.0' because the code system http://cap.org/eCC was not found"
            },
            "expression": [
              "Bundle/bundle-us-pathology-exchange: Bundle.entry[43].resource/*Observation/observation-special-studies-negative*/.value.ofType(CodeableConcept)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/CapabilityStatement-capabilitystatement-central-cancer-registry-reporting-ehr-path",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CapabilityStatement-capabilitystatement-central-cancer-registry-reporting-ehr-path"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/CapabilityStatement-capabilitystatement-pathology-lab-information-system",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CapabilityStatement-capabilitystatement-pathology-lab-information-system"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/CodeSystem-us-pathology-codesystem",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-us-pathology-codesystem"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/Composition-composition-invasive-carcinoma-of-the-breast",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Composition-composition-invasive-carcinoma-of-the-breast",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Composition/composition-invasive-carcinoma-of-the-breast: Composition.type.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 18
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
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              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-form-codes|2.0.0' because the code system http://cap.org/eCC was not found"
            },
            "expression": [
              "Composition/composition-invasive-carcinoma-of-the-breast: Composition.type"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/DiagnosticReport-diagnosticreport-breast-invasive-carcinoma",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "DiagnosticReport-diagnosticreport-breast-invasive-carcinoma"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/Encounter-encounter-uspath-specimen-collection",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Encounter-encounter-uspath-specimen-collection"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/Observation-observation-additional-dimension",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-additional-dimension",
        "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-additional-dimension: Observation.code.coding[0].system"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/Observation-observation-additional-findings-specify",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-additional-findings-specify",
        "issue": [
          {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-additional-findings-specify: Observation.code.coding[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/Observation-observation-clock-position-8",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-clock-position-8",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-clock-position-8: Observation.code.coding[0].system"
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          {
            "extension": [
              {
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            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
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              {
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              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-answer-codes|2.0.0' because the code system http://cap.org/eCC| was not found"
            },
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/Observation-observation-clock-position",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-clock-position",
        "issue": [
          {
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-clock-position: Observation.code.coding[0].system"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 52
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
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              {
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            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-clock-position: Observation.value.ofType(CodeableConcept).coding[0].system"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 52
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
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            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-answer-codes|2.0.0' because the code system http://cap.org/eCC was not found"
            },
            "expression": [
              "Observation/observation-clock-position: Observation.value.ofType(CodeableConcept)"
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        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/Observation-observation-distant-metastasis-distant-sites",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-distant-metastasis-distant-sites",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "valueCode": "UNKNOWN_CODESYSTEM"
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            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-distant-metastasis-distant-sites: Observation.code.coding[0].system"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
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            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-distant-metastasis-distant-sites: Observation.value.ofType(CodeableConcept).coding[0].system"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 45
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
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            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-answer-codes|2.0.0' because the code system http://cap.org/eCC was not found"
            },
            "expression": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/Observation-observation-distant-metastasis",
      "resource": {
        "resourceType": "OperationOutcome",
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        "issue": [
          {
            "extension": [
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
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            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-distant-metastasis: Observation.code.coding[0].system"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/Observation-observation-ductal-carcinoma",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-ductal-carcinoma",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
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            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-ductal-carcinoma: Observation.code.coding[0].system"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 47
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
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            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-ductal-carcinoma: Observation.value.ofType(CodeableConcept).coding[0].system"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNABLE_TO_CHECK_IF_THE_PROVIDED_CODES_ARE_IN_THE_VALUE_SET_CS"
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            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-answer-codes|2.0.0' because the code system http://cap.org/eCC| was not found"
            },
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        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/Observation-observation-glandular-differentiation",
      "resource": {
        "resourceType": "OperationOutcome",
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        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 27
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
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            ],
            "severity": "warning",
            "code": "not-found",
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              "text": "A definition for CodeSystem 'http://cap.org/eCC' could not be found, so the code cannot be validated"
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          },
          {
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              {
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              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-glandular-differentiation: Observation.value.ofType(CodeableConcept).coding[0].system"
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          },
          {
            "extension": [
              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-answer-codes|2.0.0' because the code system http://cap.org/eCC was not found"
            },
            "expression": [
              "Observation/observation-glandular-differentiation: Observation.value.ofType(CodeableConcept)"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/Observation-observation-histologic-grade",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-histologic-grade",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://cap.org/eCC' could not be found, so the code cannot be validated"
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          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-histologic-grade: Observation.value.ofType(CodeableConcept).coding[0].system"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
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              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-answer-codes|2.0.0' because the code system http://cap.org/eCC was not found"
            },
            "expression": [
              "Observation/observation-histologic-grade: Observation.value.ofType(CodeableConcept)"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/Observation-observation-histologic-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-histologic-type",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
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              "Observation/observation-histologic-type: Observation.code.coding[0].system"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
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                "valueCode": "UNKNOWN_CODESYSTEM"
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            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-histologic-type: Observation.value.ofType(CodeableConcept).coding[0].system"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 45
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
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              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-answer-codes|2.0.0' because the code system http://cap.org/eCC was not found"
            },
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              "Observation/observation-histologic-type: Observation.value.ofType(CodeableConcept)"
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        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/Observation-observation-margins-closest-margin-to-invasive-carcinoma",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-margins-closest-margin-to-invasive-carcinoma",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 27
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
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            ],
            "severity": "warning",
            "code": "not-found",
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              "Observation/observation-margins-closest-margin-to-invasive-carcinoma: Observation.code.coding[0].system"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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            "severity": "warning",
            "code": "not-found",
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
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              {
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            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-answer-codes|2.0.0' because the code system http://cap.org/eCC was not found"
            },
            "expression": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/Observation-observation-margins-distance-to-closest-margin",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-margins-distance-to-closest-margin",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
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            ],
            "severity": "warning",
            "code": "not-found",
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              "text": "A definition for CodeSystem 'http://cap.org/eCC' could not be found, so the code cannot be validated"
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            "expression": [
              "Observation/observation-margins-distance-to-closest-margin: Observation.code.coding[0].system"
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            "extension": [
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            "severity": "warning",
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              "text": "A definition for CodeSystem 'http://cap.org/eCC' could not be found, so the code cannot be validated"
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              "Observation/observation-margins-distance-to-closest-margin: Observation.value.ofType(CodeableConcept).coding[0].system"
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          {
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              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-answer-codes|2.0.0' because the code system http://cap.org/eCC was not found"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/Observation-observation-margins-margin-status-for-invasive-carcinoma",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-margins-margin-status-for-invasive-carcinoma",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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            "severity": "warning",
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              "text": "A definition for CodeSystem 'http://cap.org/eCC' could not be found, so the code cannot be validated"
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              "Observation/observation-margins-margin-status-for-invasive-carcinoma: Observation.code.coding[0].system"
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            ],
            "severity": "warning",
            "code": "not-found",
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              "text": "A definition for CodeSystem 'http://cap.org/eCC' could not be found, so the code cannot be validated"
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              "Observation/observation-margins-margin-status-for-invasive-carcinoma: Observation.value.ofType(CodeableConcept).coding[0].system"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
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            "severity": "warning",
            "code": "code-invalid",
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              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-answer-codes|2.0.0' because the code system http://cap.org/eCC was not found"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/Observation-observation-mitotic-rate",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-mitotic-rate",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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            "severity": "warning",
            "code": "not-found",
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              "text": "A definition for CodeSystem 'http://cap.org/eCC' could not be found, so the code cannot be validated"
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              {
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              {
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              {
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            "severity": "warning",
            "code": "not-found",
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            "extension": [
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              {
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            ],
            "severity": "warning",
            "code": "code-invalid",
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              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-answer-codes|2.0.0' because the code system http://cap.org/eCC was not found"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/Observation-observation-nuclear-pleomorphism",
      "resource": {
        "resourceType": "OperationOutcome",
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        "issue": [
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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            ],
            "severity": "warning",
            "code": "not-found",
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              "text": "A definition for CodeSystem 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-nuclear-pleomorphism: Observation.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 47
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-nuclear-pleomorphism: Observation.value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 47
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNABLE_TO_CHECK_IF_THE_PROVIDED_CODES_ARE_IN_THE_VALUE_SET_CS"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-answer-codes|2.0.0' because the code system http://cap.org/eCC was not found"
            },
            "expression": [
              "Observation/observation-nuclear-pleomorphism: Observation.value.ofType(CodeableConcept)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/Observation-observation-overall-grade",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-overall-grade",
        "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-overall-grade: Observation.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 47
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-overall-grade: Observation.value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 47
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNABLE_TO_CHECK_IF_THE_PROVIDED_CODES_ARE_IN_THE_VALUE_SET_CS"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-answer-codes|2.0.0' because the code system http://cap.org/eCC was not found"
            },
            "expression": [
              "Observation/observation-overall-grade: Observation.value.ofType(CodeableConcept)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/Observation-observation-procedure-breast-excision",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-procedure-breast-excision",
        "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-procedure-breast-excision: Observation.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 52
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-procedure-breast-excision: Observation.value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 52
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNABLE_TO_CHECK_IF_THE_PROVIDED_CODES_ARE_IN_THE_VALUE_SET_CS"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-answer-codes|2.0.0' because the code system http://cap.org/eCC| was not found"
            },
            "expression": [
              "Observation/observation-procedure-breast-excision: Observation.value.ofType(CodeableConcept)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/Observation-observation-ptnm-classification-pN-Category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-ptnm-classification-pN-Category",
        "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-ptnm-classification-pN-Category: Observation.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 45
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-ptnm-classification-pN-Category: Observation.value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 45
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNABLE_TO_CHECK_IF_THE_PROVIDED_CODES_ARE_IN_THE_VALUE_SET_CS"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-answer-codes|2.0.0' because the code system http://cap.org/eCC was not found"
            },
            "expression": [
              "Observation/observation-ptnm-classification-pN-Category: Observation.value.ofType(CodeableConcept)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/Observation-observation-ptnm-classification-pT-Category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-ptnm-classification-pT-Category",
        "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-ptnm-classification-pT-Category: Observation.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 45
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-ptnm-classification-pT-Category: Observation.value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 45
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNABLE_TO_CHECK_IF_THE_PROVIDED_CODES_ARE_IN_THE_VALUE_SET_CS"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-answer-codes|2.0.0' because the code system http://cap.org/eCC was not found"
            },
            "expression": [
              "Observation/observation-ptnm-classification-pT-Category: Observation.value.ofType(CodeableConcept)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/Observation-observation-regional-lymph-node-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-regional-lymph-node-status",
        "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-regional-lymph-node-status: Observation.code.coding[0].system"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 45
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-regional-lymph-node-status: Observation.value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 45
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNABLE_TO_CHECK_IF_THE_PROVIDED_CODES_ARE_IN_THE_VALUE_SET_CS"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-answer-codes|2.0.0' because the code system http://cap.org/eCC was not found"
            },
            "expression": [
              "Observation/observation-regional-lymph-node-status: Observation.value.ofType(CodeableConcept)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/Observation-observation-regional-lymph-nodes-number-examined",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-regional-lymph-nodes-number-examined",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 36
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-regional-lymph-nodes-number-examined: Observation.code.coding[0].system"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 45
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-regional-lymph-nodes-number-examined: Observation.value.ofType(CodeableConcept).coding[0].system"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 45
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNABLE_TO_CHECK_IF_THE_PROVIDED_CODES_ARE_IN_THE_VALUE_SET_CS"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-answer-codes|2.0.0' because the code system http://cap.org/eCC was not found"
            },
            "expression": [
              "Observation/observation-regional-lymph-nodes-number-examined: Observation.value.ofType(CodeableConcept)"
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        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/Observation-observation-regional-lymph-nodes-number-sentinel",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-regional-lymph-nodes-number-sentinel",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 36
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-regional-lymph-nodes-number-sentinel: Observation.code.coding[0].system"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 45
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-regional-lymph-nodes-number-sentinel: Observation.value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 45
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
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              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-answer-codes|2.0.0' because the code system http://cap.org/eCC was not found"
            },
            "expression": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/Observation-observation-section-additional-findings",
      "resource": {
        "resourceType": "OperationOutcome",
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        "issue": [
          {
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              {
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-section-additional-findings: Observation.code.coding[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/Observation-observation-section-comments",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-section-comments",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-section-comments: Observation.code.coding[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/Observation-observation-section-distant-metastasis",
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        "resourceType": "OperationOutcome",
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          {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-section-distant-metastasis: Observation.code.coding[0].system"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/Observation-observation-section-lymph-nodes",
      "resource": {
        "resourceType": "OperationOutcome",
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-section-lymph-nodes: Observation.code.coding[0].system"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/Observation-observation-section-margins",
      "resource": {
        "resourceType": "OperationOutcome",
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        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-section-margins: Observation.code.coding[0].system"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/Observation-observation-section-ptnm-classification",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-section-ptnm-classification",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-section-ptnm-classification: Observation.code.coding[0].system"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/Observation-observation-section-regional-lymph-nodes",
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        "resourceType": "OperationOutcome",
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        "issue": [
          {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-section-regional-lymph-nodes: Observation.code.coding[0].system"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/Observation-observation-section-special-studies",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-section-special-studies",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-section-special-studies: Observation.code.coding[0].system"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/Observation-observation-section-specimen",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-section-specimen",
        "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",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-section-specimen: Observation.code.coding[0].system"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/Observation-observation-section-tumor-extent",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-section-tumor-extent",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 27
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-section-tumor-extent: Observation.code.coding[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/Observation-observation-section-tumor",
      "resource": {
        "resourceType": "OperationOutcome",
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        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-section-tumor: Observation.code.coding[0].system"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/Observation-observation-special-studies-breast-biomarker",
      "resource": {
        "resourceType": "OperationOutcome",
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        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
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              "Observation/observation-special-studies-breast-biomarker: Observation.code.coding[0].system"
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        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/Observation-observation-special-studies-estrogen-receptor-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-special-studies-estrogen-receptor-status",
        "issue": [
          {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
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              "Observation/observation-special-studies-estrogen-receptor-status: Observation.code.coding[0].system"
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          {
            "extension": [
              {
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            ],
            "severity": "warning",
            "code": "not-found",
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              "text": "A definition for CodeSystem 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
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              "Observation/observation-special-studies-estrogen-receptor-status: Observation.value.ofType(CodeableConcept).coding[0].system"
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          },
          {
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
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            ],
            "severity": "warning",
            "code": "code-invalid",
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            },
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/Observation-observation-special-studies-estrogen-receptor",
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        "resourceType": "OperationOutcome",
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          {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
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            ],
            "severity": "warning",
            "code": "not-found",
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            },
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          {
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            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://cap.org/eCC' could not be found, so the code cannot be validated"
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              "Observation/observation-special-studies-estrogen-receptor: Observation.value.ofType(CodeableConcept).coding[0].system"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
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            },
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/Observation-observation-special-studies-her2",
      "resource": {
        "resourceType": "OperationOutcome",
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        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 27
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
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            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
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              "Observation/observation-special-studies-her2: Observation.code.coding[0].system"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/Observation-observation-special-studies-negative",
      "resource": {
        "resourceType": "OperationOutcome",
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        "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-special-studies-negative: Observation.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 45
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-special-studies-negative: Observation.value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 45
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNABLE_TO_CHECK_IF_THE_PROVIDED_CODES_ARE_IN_THE_VALUE_SET_CS"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-answer-codes|2.0.0' because the code system http://cap.org/eCC was not found"
            },
            "expression": [
              "Observation/observation-special-studies-negative: Observation.value.ofType(CodeableConcept)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/Observation-observation-specimen-laterality",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-specimen-laterality",
        "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-specimen-laterality: Observation.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 47
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-specimen-laterality: Observation.value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 47
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNABLE_TO_CHECK_IF_THE_PROVIDED_CODES_ARE_IN_THE_VALUE_SET_CS"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-answer-codes|2.0.0' because the code system http://cap.org/eCC| was not found"
            },
            "expression": [
              "Observation/observation-specimen-laterality: Observation.value.ofType(CodeableConcept)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/Observation-observation-tumor-focality",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-tumor-focality",
        "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-tumor-focality: Observation.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 47
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-tumor-focality: Observation.value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 47
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNABLE_TO_CHECK_IF_THE_PROVIDED_CODES_ARE_IN_THE_VALUE_SET_CS"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-answer-codes|2.0.0' because the code system http://cap.org/eCC was not found"
            },
            "expression": [
              "Observation/observation-tumor-focality: Observation.value.ofType(CodeableConcept)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/Observation-observation-tumor-site",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-tumor-site",
        "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-tumor-site: Observation.code.coding[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/Observation-observation-tumor-size",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-tumor-size",
        "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-tumor-size: Observation.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 48
              },
              {
                "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 'http://cap.org/eCC' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-tumor-size: Observation.value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 48
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNABLE_TO_CHECK_IF_THE_PROVIDED_CODES_ARE_IN_THE_VALUE_SET_CS"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/cancer-reporting/ValueSet/cap-ecp-answer-codes|2.0.0' because the code system http://cap.org/eCC| was not found"
            },
            "expression": [
              "Observation/observation-tumor-size: Observation.value.ofType(CodeableConcept)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/Organization-organization-Redwood-Womens-Center-PC",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Organization-organization-Redwood-Womens-Center-PC"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/Organization-organization-principal-pathology-lab",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Organization-organization-principal-pathology-lab"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/Patient-patient-OakleyAnnie",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Patient-patient-OakleyAnnie"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/Practitioner-practitioner-oncologist",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Practitioner-practitioner-oncologist"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/Practitioner-practitioner-pathologist",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Practitioner-practitioner-pathologist"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/Practitioner-practitioner-surgeon",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Practitioner-practitioner-surgeon"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/PractitionerRole-practitionerrole-uspath-pathologist",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "PractitionerRole-practitionerrole-uspath-pathologist"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/PractitionerRole-practitionerrole-uspath-practitioner-oncologist",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "PractitionerRole-practitionerrole-uspath-practitioner-oncologist"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/PractitionerRole-practitionerrole-uspath-surgeon",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "PractitionerRole-practitionerrole-uspath-surgeon"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/Procedure-procedure-path-specimen",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-procedure-path-specimen"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/RelatedPerson-relatedperson-pathology-next-of-kin",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "RelatedPerson-relatedperson-pathology-next-of-kin"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/ServiceRequest-servicerequest-cancer-path",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ServiceRequest-servicerequest-cancer-path"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/Specimen-specimen-breast",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Specimen-specimen-breast"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/StructureDefinition-composition-diagnosticReportReference",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-composition-diagnosticReportReference"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/StructureDefinition-us-pathology-bundle",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-pathology-bundle"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/StructureDefinition-us-pathology-composition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-pathology-composition"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/StructureDefinition-us-pathology-diagnostic-report",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-pathology-diagnostic-report"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/StructureDefinition-us-pathology-observation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-pathology-observation"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/StructureDefinition-us-pathology-related-practitioner-role",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-pathology-related-practitioner-role"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/StructureDefinition-us-pathology-service-request",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-pathology-service-request"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/StructureDefinition-us-pathology-specimen",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-pathology-specimen"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/ValueSet-cap-ecp-answer-codes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-cap-ecp-answer-codes",
        "issue": [
          {
            "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://cap.org/eCC"
            },
            "expression": [
              "ValueSet.where(id = 'cap-ecp-answer-codes')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/ValueSet-cap-ecp-form-codes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-cap-ecp-form-codes",
        "issue": [
          {
            "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://cap.org/eCC"
            },
            "expression": [
              "ValueSet.where(id = 'cap-ecp-form-codes')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/ValueSet-cap-ecp-question-codes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-cap-ecp-question-codes",
        "issue": [
          {
            "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://cap.org/eCC"
            },
            "expression": [
              "ValueSet.where(id = 'cap-ecp-question-codes')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/ValueSet-cap-ecp-section-codes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-cap-ecp-section-codes",
        "issue": [
          {
            "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://cap.org/eCC"
            },
            "expression": [
              "ValueSet.where(id = 'cap-ecp-section-codes')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/ValueSet-us-pathology-form-category-codes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-us-pathology-form-category-codes"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cancer-reporting/OperationOutcome/ValueSet-us-pathology-provider-types",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-us-pathology-provider-types"
      }
    }
  ]
}