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

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Source1

{
  "resourceType": "Bundle",
  "type": "collection",
  "timestamp": "2023-08-03T21:38:54.131+00:00",
  "entry": [
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/ImplementationGuide-hl7.fhir.us.cardx-htn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ImplementationGuide-hl7.fhir.us.cardx-htn"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/Observation-Observation-2PM-Day1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-Observation-2PM-Day1",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 79
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' does not resolve"
            },
            "expression": [
              "Observation/Observation-2PM-Day1: Observation.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' has not been checked because it is unknown, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Observation/Observation-2PM-Day1: Observation.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/Patient-patient-example-Jake-Donald",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Patient-patient-example-Jake-Donald"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/StructureDefinition-heart-rate",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-heart-rate"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/ValueSet-heartRateMeasDeviceVS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-heartRateMeasDeviceVS",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3899
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "The ShareableValueSet profile says that the experimental element is mandatory, but it is not found. HL7 Published value sets SHALL conform to the ShareableValueSet profile"
            },
            "expression": [
              "ValueSet/heartRateMeasDeviceVS: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/Device-phd-bloodpressuremonitor-MS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Device-phd-bloodpressuremonitor-MS",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 65
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/uv/phd/StructureDefinition/PhdDevice' does not resolve"
            },
            "expression": [
              "Device/phd-bloodpressuremonitor-MS: Device.meta.profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 13
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_System_Unknown"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code System 'http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaDeviceIdentifiers'"
            },
            "expression": [
              "Device/phd-bloodpressuremonitor-MS: Device.identifier[0].type.coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 15
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 88
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "URL value 'http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaDeviceIdentifiers' does not resolve"
            },
            "expression": [
              "Device/phd-bloodpressuremonitor-MS: Device.identifier[0].type.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 25
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_System_Unknown"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code System 'http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaDeviceIdentifiers'"
            },
            "expression": [
              "Device/phd-bloodpressuremonitor-MS: Device.identifier[1].type.coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 27
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 88
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "URL value 'http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaDeviceIdentifiers' does not resolve"
            },
            "expression": [
              "Device/phd-bloodpressuremonitor-MS: Device.identifier[1].type.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/uv/phd/StructureDefinition/PhdDevice' has not been checked because it is unknown, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Device/phd-bloodpressuremonitor-MS: Device.meta.profile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/StructureDefinition-average-blood-pressure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-average-blood-pressure"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/Observation-Observation-1AM-Day7",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-Observation-1AM-Day7",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 79
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' does not resolve"
            },
            "expression": [
              "Observation/Observation-1AM-Day7: Observation.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' has not been checked because it is unknown, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Observation/Observation-1AM-Day7: Observation.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/StructureDefinition-MeasurementProtocolExt",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-MeasurementProtocolExt",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "Review the extension type: extensions should not have a context of Element unless it's really intended that they can be used anywhere"
            },
            "expression": [
              "StructureDefinition/MeasurementProtocolExt: StructureDefinition.context[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/ValueSet-heartRateMeasBodyLocationPrecoordVS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-heartRateMeasBodyLocationPrecoordVS",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '24781000205105' is not valid in the system http://snomed.info/sct"
            },
            "expression": [
              "ValueSet/heartRateMeasBodyLocationPrecoordVS: ValueSet.compose[0].include[0].concept[14]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '24791000205107' is not valid in the system http://snomed.info/sct"
            },
            "expression": [
              "ValueSet/heartRateMeasBodyLocationPrecoordVS: ValueSet.compose[0].include[0].concept[26]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9304
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "The ShareableValueSet profile says that the experimental element is mandatory, but it is not found. HL7 Published value sets SHALL conform to the ShareableValueSet profile"
            },
            "expression": [
              "ValueSet/heartRateMeasBodyLocationPrecoordVS: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/Observation-Observation-1AM-Day1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-Observation-1AM-Day1",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 79
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' does not resolve"
            },
            "expression": [
              "Observation/Observation-1AM-Day1: Observation.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' has not been checked because it is unknown, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Observation/Observation-1AM-Day1: Observation.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/Observation-BloodPressurePanel-MS-Manual",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-BloodPressurePanel-MS-Manual",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 79
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' does not resolve"
            },
            "expression": [
              "Observation/BloodPressurePanel-MS-Manual: Observation.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 80
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Wrong Display Name 'At rest' for http://snomed.info/sct#255214003 - should be one of 5 choices: ''After exercise', '\"After exertion\"', '\"Following exercise\"', '\"After exercise (qualifier value)\"' or '\"Post exercise\"'' for the language(s) '--' (from Tx-Server)"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Wrong Display Name 'At rest' for http://snomed.info/sct#255214003 - should be one of 5 choices: ''After exercise', '\"After exertion\"', '\"Following exercise\"', '\"After exercise (qualifier value)\"' or '\"Post exercise\"'' for the language(s) '--' (from Tx-Server)"
            },
            "expression": [
              "Observation/BloodPressurePanel-MS-Manual: Observation.extension[2].value.ofType(CodeableConcept)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 82
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_PassThrough_TX_Message"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Wrong Display Name 'At rest' for http://snomed.info/sct#255214003 - should be one of 5 choices: ''After exercise', '\"After exertion\"', '\"Following exercise\"', '\"After exercise (qualifier value)\"' or '\"Post exercise\"'' for the language(s) '--' (from Tx-Server) for 'http://snomed.info/sct#255214003'"
            },
            "expression": [
              "Observation/BloodPressurePanel-MS-Manual: Observation.extension[2].value.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' has not been checked because it is unknown, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Observation/BloodPressurePanel-MS-Manual: Observation.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/ValueSet-exertionPhaseVS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-exertionPhaseVS",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1998
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "The ShareableValueSet profile says that the experimental element is mandatory, but it is not found. HL7 Published value sets SHALL conform to the ShareableValueSet profile"
            },
            "expression": [
              "ValueSet/exertionPhaseVS: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/StructureDefinition-datetime-of-calculation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-datetime-of-calculation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "Review the extension type: extensions should not have a context of Element unless it's really intended that they can be used anywhere"
            },
            "expression": [
              "StructureDefinition/datetime-of-calculation: StructureDefinition.context[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this extension"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://hl7.org/fhir/us/cardx-htn/StructureDefinition/datetime-of-calculation')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/Observation-Observation-2AM-Day2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-Observation-2AM-Day2",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 79
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' does not resolve"
            },
            "expression": [
              "Observation/Observation-2AM-Day2: Observation.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' has not been checked because it is unknown, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Observation/Observation-2AM-Day2: Observation.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/Observation-Observation-1PM-Day2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-Observation-1PM-Day2",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 79
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' does not resolve"
            },
            "expression": [
              "Observation/Observation-1PM-Day2: Observation.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' has not been checked because it is unknown, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Observation/Observation-1PM-Day2: Observation.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/Observation-SMBP-Protocol",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-SMBP-Protocol",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 81
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/vitals/StructureDefinition/average-blood-pressure' does not resolve"
            },
            "expression": [
              "Observation/SMBP-Protocol: Observation.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 21
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_System_Unknown"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code System 'http://hl7.org/fhir/us/vitals/CodeSystem/MeasurementProtocolTemporaryCodeSystem'"
            },
            "expression": [
              "Observation/SMBP-Protocol: Observation.extension[1].value.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 23
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 104
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "URL value 'http://hl7.org/fhir/us/vitals/CodeSystem/MeasurementProtocolTemporaryCodeSystem' does not resolve"
            },
            "expression": [
              "Observation/SMBP-Protocol: Observation.extension[1].value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Wrong Display Name 'At rest' for http://snomed.info/sct#255214003 - should be one of 5 choices: ''After exercise', '\"After exertion\"', '\"Following exercise\"', '\"After exercise (qualifier value)\"' or '\"Post exercise\"'' for the language(s) '--' (from Tx-Server)"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Wrong Display Name 'At rest' for http://snomed.info/sct#255214003 - should be one of 5 choices: ''After exercise', '\"After exertion\"', '\"Following exercise\"', '\"After exercise (qualifier value)\"' or '\"Post exercise\"'' for the language(s) '--' (from Tx-Server)"
            },
            "expression": [
              "Observation/SMBP-Protocol: Observation.extension[2].value.ofType(CodeableConcept)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_PassThrough_TX_Message"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Wrong Display Name 'At rest' for http://snomed.info/sct#255214003 - should be one of 5 choices: ''After exercise', '\"After exertion\"', '\"Following exercise\"', '\"After exercise (qualifier value)\"' or '\"Post exercise\"'' for the language(s) '--' (from Tx-Server) for 'http://snomed.info/sct#255214003'"
            },
            "expression": [
              "Observation/SMBP-Protocol: Observation.extension[2].value.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 142
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_PassThrough_TX_Message"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Wrong Display Name 'Arterial pressure monitoring, non invasive method' for http://snomed.info/sct#17146006 - should be one of 5 choices: ''Arterial pressure monitoring, non-invasive method', '\"Non-invasive arterial blood pressure monitoring\"', '\"BP - Non-invasive arterial blood pressure monitoring\"', '\"Arterial pressure monitoring, non-invasive method (regime/therapy)\"' or '\"NIBP - Non-invasive blood pressure monitoring\"'' for the language(s) '--' (from Tx-Server) for 'http://snomed.info/sct#17146006'"
            },
            "expression": [
              "Observation/SMBP-Protocol: Observation.method.coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 149
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantResolve"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to resolve resource with reference 'Device/BPDevice2-example'"
            },
            "expression": [
              "Observation/SMBP-Protocol: Observation.device"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/vitals/StructureDefinition/average-blood-pressure' has not been checked because it is unknown, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Observation/SMBP-Protocol: Observation.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/StructureDefinition-twenty-four-hour-blood-pressure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-twenty-four-hour-blood-pressure"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/Observation-Observation-2PM-Day7",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-Observation-2PM-Day7",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 79
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' does not resolve"
            },
            "expression": [
              "Observation/Observation-2PM-Day7: Observation.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' has not been checked because it is unknown, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Observation/Observation-2PM-Day7: Observation.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/Observation-Observation-2AM-Day5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-Observation-2AM-Day5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 79
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' does not resolve"
            },
            "expression": [
              "Observation/Observation-2AM-Day5: Observation.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' has not been checked because it is unknown, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Observation/Observation-2AM-Day5: Observation.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/Observation-HeartRate-MS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-HeartRate-MS",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 69
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/vitals/StructureDefinition/heart-rate' does not resolve"
            },
            "expression": [
              "Observation/HeartRate-MS: Observation.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 15
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_PassThrough_TX_Message"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Wrong Display Name 'Fowlers Position' for http://snomed.info/sct#30212006 - should be one of 3 choices: ''Fowler's position', '\"Fowler's position (finding)\"' or '\"Fowler position\"'' for the language(s) '--' (from Tx-Server) for 'http://snomed.info/sct#30212006'"
            },
            "expression": [
              "Observation/HeartRate-MS: Observation.extension[0].value.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 13
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Wrong Display Name 'Fowlers Position' for http://snomed.info/sct#30212006 - should be one of 3 choices: ''Fowler's position', '\"Fowler's position (finding)\"' or '\"Fowler position\"'' for the language(s) '--' (from Tx-Server)"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Wrong Display Name 'Fowlers Position' for http://snomed.info/sct#30212006 - should be one of 3 choices: ''Fowler's position', '\"Fowler's position (finding)\"' or '\"Fowler position\"'' for the language(s) '--' (from Tx-Server)"
            },
            "expression": [
              "Observation/HeartRate-MS: Observation.extension[0].value.ofType(CodeableConcept)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 25
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Wrong Display Name 'At rest' for http://snomed.info/sct#255214003 - should be one of 5 choices: ''After exercise', '\"After exertion\"', '\"Following exercise\"', '\"After exercise (qualifier value)\"' or '\"Post exercise\"'' for the language(s) '--' (from Tx-Server)"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Wrong Display Name 'At rest' for http://snomed.info/sct#255214003 - should be one of 5 choices: ''After exercise', '\"After exertion\"', '\"Following exercise\"', '\"After exercise (qualifier value)\"' or '\"Post exercise\"'' for the language(s) '--' (from Tx-Server)"
            },
            "expression": [
              "Observation/HeartRate-MS: Observation.extension[1].value.ofType(CodeableConcept)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 27
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_PassThrough_TX_Message"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Wrong Display Name 'At rest' for http://snomed.info/sct#255214003 - should be one of 5 choices: ''After exercise', '\"After exertion\"', '\"Following exercise\"', '\"After exercise (qualifier value)\"' or '\"Post exercise\"'' for the language(s) '--' (from Tx-Server) for 'http://snomed.info/sct#255214003'"
            },
            "expression": [
              "Observation/HeartRate-MS: Observation.extension[1].value.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/vitals/StructureDefinition/heart-rate' has not been checked because it is unknown, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Observation/HeartRate-MS: Observation.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/Observation-Observation-1PM-Day4",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-Observation-1PM-Day4",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 79
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' does not resolve"
            },
            "expression": [
              "Observation/Observation-1PM-Day4: Observation.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' has not been checked because it is unknown, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Observation/Observation-1PM-Day4: Observation.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/CodeSystem-MeasurementProtocolTemporaryCodeSystem",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-MeasurementProtocolTemporaryCodeSystem",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1741
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "The ShareableCodeSystem profile says that the experimental element is mandatory, but it is not found. HL7 Published code systems SHALL conform to the ShareableCodeSystem profile"
            },
            "expression": [
              "CodeSystem/MeasurementProtocolTemporaryCodeSystem: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/ValueSet-bpmeasbodylocationprecoord",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-bpmeasbodylocationprecoord",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5246
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "The ShareableValueSet profile says that the experimental element is mandatory, but it is not found. HL7 Published value sets SHALL conform to the ShareableValueSet profile"
            },
            "expression": [
              "ValueSet/bpmeasbodylocationprecoord: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/Observation-BloodPressurePanel-Madatory-Manual",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-BloodPressurePanel-Madatory-Manual",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 79
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' does not resolve"
            },
            "expression": [
              "Observation/BloodPressurePanel-Madatory-Manual: Observation.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' has not been checked because it is unknown, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Observation/BloodPressurePanel-Madatory-Manual: Observation.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/Observation-Observation-2AM-Day1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-Observation-2AM-Day1",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 79
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' does not resolve"
            },
            "expression": [
              "Observation/Observation-2AM-Day1: Observation.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' has not been checked because it is unknown, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Observation/Observation-2AM-Day1: Observation.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/Observation-BloodPressurePanel-MS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-BloodPressurePanel-MS",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 79
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' does not resolve"
            },
            "expression": [
              "Observation/BloodPressurePanel-MS: Observation.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 80
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Wrong Display Name 'At rest' for http://snomed.info/sct#255214003 - should be one of 5 choices: ''After exercise', '\"After exertion\"', '\"Following exercise\"', '\"After exercise (qualifier value)\"' or '\"Post exercise\"'' for the language(s) '--' (from Tx-Server)"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Wrong Display Name 'At rest' for http://snomed.info/sct#255214003 - should be one of 5 choices: ''After exercise', '\"After exertion\"', '\"Following exercise\"', '\"After exercise (qualifier value)\"' or '\"Post exercise\"'' for the language(s) '--' (from Tx-Server)"
            },
            "expression": [
              "Observation/BloodPressurePanel-MS: Observation.extension[2].value.ofType(CodeableConcept)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 82
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_PassThrough_TX_Message"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Wrong Display Name 'At rest' for http://snomed.info/sct#255214003 - should be one of 5 choices: ''After exercise', '\"After exertion\"', '\"Following exercise\"', '\"After exercise (qualifier value)\"' or '\"Post exercise\"'' for the language(s) '--' (from Tx-Server) for 'http://snomed.info/sct#255214003'"
            },
            "expression": [
              "Observation/BloodPressurePanel-MS: Observation.extension[2].value.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' has not been checked because it is unknown, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Observation/BloodPressurePanel-MS: Observation.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/CodeSystem-organization-hspc-organizationtype",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-organization-hspc-organizationtype",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6827
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "The ShareableCodeSystem profile says that the experimental element is mandatory, but it is not found. HL7 Published code systems SHALL conform to the ShareableCodeSystem profile"
            },
            "expression": [
              "CodeSystem/organization-hspc-organizationtype: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/Observation-Observation-2AM-Day4",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-Observation-2AM-Day4",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 79
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' does not resolve"
            },
            "expression": [
              "Observation/Observation-2AM-Day4: Observation.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' has not been checked because it is unknown, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Observation/Observation-2AM-Day4: Observation.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/Observation-Observation-2PM-Day3",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-Observation-2PM-Day3",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 79
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' does not resolve"
            },
            "expression": [
              "Observation/Observation-2PM-Day3: Observation.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' has not been checked because it is unknown, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Observation/Observation-2PM-Day3: Observation.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/Observation-Observation-1PM-Day7",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-Observation-1PM-Day7",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 79
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' does not resolve"
            },
            "expression": [
              "Observation/Observation-1PM-Day7: Observation.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' has not been checked because it is unknown, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Observation/Observation-1PM-Day7: Observation.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/Observation-Observation-2AM-Day6",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-Observation-2AM-Day6",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 79
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' does not resolve"
            },
            "expression": [
              "Observation/Observation-2AM-Day6: Observation.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' has not been checked because it is unknown, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Observation/Observation-2AM-Day6: Observation.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/Observation-Observation-1AM-Day6",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-Observation-1AM-Day6",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 79
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' does not resolve"
            },
            "expression": [
              "Observation/Observation-1AM-Day6: Observation.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' has not been checked because it is unknown, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Observation/Observation-1AM-Day6: Observation.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/StructureDefinition-MeasurementSettingExt",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-MeasurementSettingExt",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "Review the extension type: extensions should not have a context of Element unless it's really intended that they can be used anywhere"
            },
            "expression": [
              "StructureDefinition/MeasurementSettingExt: StructureDefinition.context[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/Observation-Observation-2AM-Day7",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-Observation-2AM-Day7",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 79
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' does not resolve"
            },
            "expression": [
              "Observation/Observation-2AM-Day7: Observation.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' has not been checked because it is unknown, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Observation/Observation-2AM-Day7: Observation.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/Observation-Observation-2PM-Day2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-Observation-2PM-Day2",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 79
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' does not resolve"
            },
            "expression": [
              "Observation/Observation-2PM-Day2: Observation.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' has not been checked because it is unknown, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Observation/Observation-2PM-Day2: Observation.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/ValueSet-MeasSettingVS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-MeasSettingVS",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1853
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "The ShareableValueSet profile says that the experimental element is mandatory, but it is not found. HL7 Published value sets SHALL conform to the ShareableValueSet profile"
            },
            "expression": [
              "ValueSet/MeasSettingVS: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/ValueSet-bpMeasMethodVS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-bpMeasMethodVS",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3851
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "The ShareableValueSet profile says that the experimental element is mandatory, but it is not found. HL7 Published value sets SHALL conform to the ShareableValueSet profile"
            },
            "expression": [
              "ValueSet/bpMeasMethodVS: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/StructureDefinition-AssociatedSituationExt",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-AssociatedSituationExt",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "Review the extension type: extensions should not have a context of Element unless it's really intended that they can be used anywhere"
            },
            "expression": [
              "StructureDefinition/AssociatedSituationExt: StructureDefinition.context[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this extension"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://hl7.org/fhir/us/cardx-htn/StructureDefinition/AssociatedSituationExt')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/CodeSystem-SolorTemporaryCodeSystem",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-SolorTemporaryCodeSystem",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7123
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "The ShareableCodeSystem profile says that the experimental element is mandatory, but it is not found. HL7 Published code systems SHALL conform to the ShareableCodeSystem profile"
            },
            "expression": [
              "CodeSystem/SolorTemporaryCodeSystem: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/Observation-BloodPressurePanel-Madatory",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-BloodPressurePanel-Madatory",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 79
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' does not resolve"
            },
            "expression": [
              "Observation/BloodPressurePanel-Madatory: Observation.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' has not been checked because it is unknown, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Observation/BloodPressurePanel-Madatory: Observation.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/ValueSet-MeasurementProtocolVS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-MeasurementProtocolVS",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1604
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "The ShareableValueSet profile says that the experimental element is mandatory, but it is not found. HL7 Published value sets SHALL conform to the ShareableValueSet profile"
            },
            "expression": [
              "ValueSet/MeasurementProtocolVS: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/Observation-Observation-1AM-Day3",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-Observation-1AM-Day3",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 79
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' does not resolve"
            },
            "expression": [
              "Observation/Observation-1AM-Day3: Observation.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' has not been checked because it is unknown, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Observation/Observation-1AM-Day3: Observation.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/Observation-AverageBloodPressure-Mandatory",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-AverageBloodPressure-Mandatory",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 81
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/vitals/StructureDefinition/average-blood-pressure' does not resolve"
            },
            "expression": [
              "Observation/AverageBloodPressure-Mandatory: Observation.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/vitals/StructureDefinition/average-blood-pressure' has not been checked because it is unknown, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Observation/AverageBloodPressure-Mandatory: Observation.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/Observation-TwentyFourHourBloodPressure-MS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-TwentyFourHourBloodPressure-MS",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 90
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/vitals/StructureDefinition/twenty-four-hour-blood-pressure' does not resolve"
            },
            "expression": [
              "Observation/TwentyFourHourBloodPressure-MS: Observation.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/vitals/StructureDefinition/twenty-four-hour-blood-pressure' has not been checked because it is unknown, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Observation/TwentyFourHourBloodPressure-MS: Observation.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/Observation-TwentyFourHourBloodPressure-Mandatory",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-TwentyFourHourBloodPressure-Mandatory",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 90
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/vitals/StructureDefinition/twenty-four-hour-blood-pressure' does not resolve"
            },
            "expression": [
              "Observation/TwentyFourHourBloodPressure-Mandatory: Observation.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/vitals/StructureDefinition/twenty-four-hour-blood-pressure' has not been checked because it is unknown, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Observation/TwentyFourHourBloodPressure-Mandatory: Observation.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/Observation-Observation-2PM-Day6",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-Observation-2PM-Day6",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 79
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' does not resolve"
            },
            "expression": [
              "Observation/Observation-2PM-Day6: Observation.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' has not been checked because it is unknown, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Observation/Observation-2PM-Day6: Observation.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/Observation-Observation-1PM-Day1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-Observation-1PM-Day1",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 79
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' does not resolve"
            },
            "expression": [
              "Observation/Observation-1PM-Day1: Observation.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' has not been checked because it is unknown, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Observation/Observation-1PM-Day1: Observation.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/StructureDefinition-blood-pressure-panel",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-blood-pressure-panel"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/StructureDefinition-min-blood-pressure-panel",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-min-blood-pressure-panel",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this profile"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://hl7.org/fhir/us/cardx-htn/StructureDefinition/min-blood-pressure-panel')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/Observation-HeartRate-Mandatory",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-HeartRate-Mandatory",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 69
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/vitals/StructureDefinition/heart-rate' does not resolve"
            },
            "expression": [
              "Observation/HeartRate-Mandatory: Observation.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/vitals/StructureDefinition/heart-rate' has not been checked because it is unknown, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Observation/HeartRate-Mandatory: Observation.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/StructureDefinition-max-blood-pressure-panel",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-max-blood-pressure-panel",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this profile"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://hl7.org/fhir/us/cardx-htn/StructureDefinition/max-blood-pressure-panel')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/Observation-Observation-1PM-Day5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-Observation-1PM-Day5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 79
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' does not resolve"
            },
            "expression": [
              "Observation/Observation-1PM-Day5: Observation.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' has not been checked because it is unknown, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Observation/Observation-1PM-Day5: Observation.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/Observation-Observation-2PM-Day4",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-Observation-2PM-Day4",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 79
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' does not resolve"
            },
            "expression": [
              "Observation/Observation-2PM-Day4: Observation.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' has not been checked because it is unknown, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Observation/Observation-2PM-Day4: Observation.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/ValueSet-sleepStatusVS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-sleepStatusVS",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1594
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "The ShareableValueSet profile says that the experimental element is mandatory, but it is not found. HL7 Published value sets SHALL conform to the ShareableValueSet profile"
            },
            "expression": [
              "ValueSet/sleepStatusVS: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/Observation-AverageBloodPressure-MS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-AverageBloodPressure-MS",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 81
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/vitals/StructureDefinition/average-blood-pressure' does not resolve"
            },
            "expression": [
              "Observation/AverageBloodPressure-MS: Observation.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 21
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_System_Unknown"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code System 'http://hl7.org/fhir/us/vitals/CodeSystem/MeasurementProtocolTemporaryCodeSystem'"
            },
            "expression": [
              "Observation/AverageBloodPressure-MS: Observation.extension[1].value.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 23
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 104
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "URL value 'http://hl7.org/fhir/us/vitals/CodeSystem/MeasurementProtocolTemporaryCodeSystem' does not resolve"
            },
            "expression": [
              "Observation/AverageBloodPressure-MS: Observation.extension[1].value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Wrong Display Name 'At rest' for http://snomed.info/sct#255214003 - should be one of 5 choices: ''After exercise', '\"After exertion\"', '\"Following exercise\"', '\"After exercise (qualifier value)\"' or '\"Post exercise\"'' for the language(s) '--' (from Tx-Server)"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Wrong Display Name 'At rest' for http://snomed.info/sct#255214003 - should be one of 5 choices: ''After exercise', '\"After exertion\"', '\"Following exercise\"', '\"After exercise (qualifier value)\"' or '\"Post exercise\"'' for the language(s) '--' (from Tx-Server)"
            },
            "expression": [
              "Observation/AverageBloodPressure-MS: Observation.extension[2].value.ofType(CodeableConcept)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_PassThrough_TX_Message"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Wrong Display Name 'At rest' for http://snomed.info/sct#255214003 - should be one of 5 choices: ''After exercise', '\"After exertion\"', '\"Following exercise\"', '\"After exercise (qualifier value)\"' or '\"Post exercise\"'' for the language(s) '--' (from Tx-Server) for 'http://snomed.info/sct#255214003'"
            },
            "expression": [
              "Observation/AverageBloodPressure-MS: Observation.extension[2].value.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 147
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_PassThrough_TX_Message"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Wrong Display Name 'Arterial pressure monitoring, non invasive method' for http://snomed.info/sct#17146006 - should be one of 5 choices: ''Arterial pressure monitoring, non-invasive method', '\"Non-invasive arterial blood pressure monitoring\"', '\"BP - Non-invasive arterial blood pressure monitoring\"', '\"Arterial pressure monitoring, non-invasive method (regime/therapy)\"' or '\"NIBP - Non-invasive blood pressure monitoring\"'' for the language(s) '--' (from Tx-Server) for 'http://snomed.info/sct#17146006'"
            },
            "expression": [
              "Observation/AverageBloodPressure-MS: Observation.method.coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/vitals/StructureDefinition/average-blood-pressure' has not been checked because it is unknown, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Observation/AverageBloodPressure-MS: Observation.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/ValueSet-NumericResultIntVS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-NumericResultIntVS",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3692
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "The ShareableValueSet profile says that the experimental element is mandatory, but it is not found. HL7 Published value sets SHALL conform to the ShareableValueSet profile"
            },
            "expression": [
              "ValueSet/NumericResultIntVS: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/Patient-patient-example-Sally-Sue",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Patient-patient-example-Sally-Sue",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 21
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_NoValid_12"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "The Coding provided (urn:oid:2.16.840.1.113883.6.238#2106-3) is not in the value set 'OMB Race Categories' (http://hl7.org/fhir/us/core/ValueSet/omb-race-category|6.1.0), and a code is required from this value set.  (error message = The provided code urn:oid:2.16.840.1.113883.6.238#2106-3: 'White' is not in the value set 'http://hl7.org/fhir/us/core/ValueSet/omb-race-category|6.1.0')"
            },
            "expression": [
              "Patient/patient-example-Sally-Sue: Patient.extension[0].extension[0].value.ofType(Coding)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 29
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_NoValid_12"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "The Coding provided (urn:oid:2.16.840.1.113883.6.238#1002-5) is not in the value set 'OMB Race Categories' (http://hl7.org/fhir/us/core/ValueSet/omb-race-category|6.1.0), and a code is required from this value set.  (error message = The provided code urn:oid:2.16.840.1.113883.6.238#1002-5: 'American Indian or Alaska Native' is not in the value set 'http://hl7.org/fhir/us/core/ValueSet/omb-race-category|6.1.0')"
            },
            "expression": [
              "Patient/patient-example-Sally-Sue: Patient.extension[0].extension[1].value.ofType(Coding)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 37
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_NoValid_12"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "The Coding provided (urn:oid:2.16.840.1.113883.6.238#2028-9) is not in the value set 'OMB Race Categories' (http://hl7.org/fhir/us/core/ValueSet/omb-race-category|6.1.0), and a code is required from this value set.  (error message = The provided code urn:oid:2.16.840.1.113883.6.238#2028-9: 'Asian' is not in the value set 'http://hl7.org/fhir/us/core/ValueSet/omb-race-category|6.1.0')"
            },
            "expression": [
              "Patient/patient-example-Sally-Sue: Patient.extension[0].extension[2].value.ofType(Coding)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 54
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_NoValid_12"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "The Coding provided (urn:oid:2.16.840.1.113883.6.238#2135-2) is not in the value set 'OMB Ethnicity Categories' (http://hl7.org/fhir/us/core/ValueSet/omb-ethnicity-category|6.1.0), and a code is required from this value set.  (error message = The provided code urn:oid:2.16.840.1.113883.6.238#2135-2: 'Hispanic or Latino' is not in the value set 'http://hl7.org/fhir/us/core/ValueSet/omb-ethnicity-category|6.1.0')"
            },
            "expression": [
              "Patient/patient-example-Sally-Sue: Patient.extension[1].extension[0].value.ofType(Coding)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/Observation-Observation-1PM-Day6",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-Observation-1PM-Day6",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 79
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' does not resolve"
            },
            "expression": [
              "Observation/Observation-1PM-Day6: Observation.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' has not been checked because it is unknown, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Observation/Observation-1PM-Day6: Observation.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/ValueSet-heartRateMeasMethodVS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-heartRateMeasMethodVS",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3539
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "The ShareableValueSet profile says that the experimental element is mandatory, but it is not found. HL7 Published value sets SHALL conform to the ShareableValueSet profile"
            },
            "expression": [
              "ValueSet/heartRateMeasMethodVS: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/Observation-Observation-1PM-Day3",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-Observation-1PM-Day3",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 79
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' does not resolve"
            },
            "expression": [
              "Observation/Observation-1PM-Day3: Observation.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' has not been checked because it is unknown, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Observation/Observation-1PM-Day3: Observation.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/StructureDefinition-NumberOfMeasurementsExt",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-NumberOfMeasurementsExt",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "Review the extension type: extensions should not have a context of Element unless it's really intended that they can be used anywhere"
            },
            "expression": [
              "StructureDefinition/NumberOfMeasurementsExt: StructureDefinition.context[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/Practitioner-practitioner-example-Mary-Hill",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Practitioner-practitioner-example-Mary-Hill",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Rule us-core-17: 'NPI check digit must be valid (Luhn algorithm check)' Failed"
              }
            ],
            "severity": "error",
            "code": "invariant",
            "details": {
              "text": "Rule us-core-17: 'NPI check digit must be valid (Luhn algorithm check)' Failed"
            },
            "expression": [
              "Practitioner/practitioner-example-Mary-Hill: Practitioner.identifier[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/Observation-Observation-1AM-Day4",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-Observation-1AM-Day4",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 79
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' does not resolve"
            },
            "expression": [
              "Observation/Observation-1AM-Day4: Observation.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' has not been checked because it is unknown, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Observation/Observation-1AM-Day4: Observation.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/StructureDefinition-SleepStatusExt",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-SleepStatusExt",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "Review the extension type: extensions should not have a context of Element unless it's really intended that they can be used anywhere"
            },
            "expression": [
              "StructureDefinition/SleepStatusExt: StructureDefinition.context[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/Observation-Observation-1AM-Day5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-Observation-1AM-Day5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 79
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' does not resolve"
            },
            "expression": [
              "Observation/Observation-1AM-Day5: Observation.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' has not been checked because it is unknown, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Observation/Observation-1AM-Day5: Observation.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/Observation-Observation-2PM-Day5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-Observation-2PM-Day5",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 79
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' does not resolve"
            },
            "expression": [
              "Observation/Observation-2PM-Day5: Observation.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' has not been checked because it is unknown, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Observation/Observation-2PM-Day5: Observation.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/Observation-Observation-2AM-Day3",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-Observation-2AM-Day3",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 79
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' does not resolve"
            },
            "expression": [
              "Observation/Observation-2AM-Day3: Observation.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' has not been checked because it is unknown, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Observation/Observation-2AM-Day3: Observation.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/ValueSet-bodyPositionVS",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-bodyPositionVS",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3660
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "The ShareableValueSet profile says that the experimental element is mandatory, but it is not found. HL7 Published value sets SHALL conform to the ShareableValueSet profile"
            },
            "expression": [
              "ValueSet/bodyPositionVS: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/Observation-Observation-1AM-Day2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-Observation-1AM-Day2",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 79
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' does not resolve"
            },
            "expression": [
              "Observation/Observation-1AM-Day2: Observation.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/vitals/StructureDefinition/blood-pressure-panel' has not been checked because it is unknown, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Observation/Observation-1AM-Day2: Observation.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/cardx-htn/OperationOutcome/StructureDefinition-ExerciseAssociationExt",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ExerciseAssociationExt",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "Review the extension type: extensions should not have a context of Element unless it's really intended that they can be used anywhere"
            },
            "expression": [
              "StructureDefinition/ExerciseAssociationExt: StructureDefinition.context[0]"
            ]
          }
        ]
      }
    }
  ]
}