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

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No narrative content found in resource


Source1

{
  "resourceType": "Bundle",
  "type": "collection",
  "timestamp": "2025-07-31T21:55:08.781+00:00",
  "entry": [
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ImplementationGuide-hl7.fhir.us.ccda",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ImplementationGuide-hl7.fhir.us.ccda",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 163
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#dMBMcvZsrSDFhHb1' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.us.ccda: ImplementationGuide.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8542
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "IG_DEPENDENCY_VERSION_WARNING_OLD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The ImplementationGuide uses package hl7.fhir.us.core#4.0.0 released on 2021-06-28, but the most recent appropriate version is 8.0.0. This reference is getting old and the more recent version should be considered"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.us.ccda: ImplementationGuide.dependsOn[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8695
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "IG_DEPENDENCY_VERSION_WARNING_OLD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The ImplementationGuide uses package hl7.fhir.uv.extensions.r4#5.1.0 released on 2024-04-27, but the most recent appropriate version is 5.2.0. This reference is getting old and the more recent version should be considered"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.us.ccda: ImplementationGuide.dependsOn[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 77437
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "IG_HL7_FMM_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Implementation Guides should state their maturity explicitly using the extension http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.us.ccda: ImplementationGuide"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ConceptMap-CF-AddressUse",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-CF-AddressUse",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3845
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.1.11.10637'"
            },
            "expression": [
              "ConceptMap/CF-AddressUse: ConceptMap.source.ofType(uri)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ConceptMap-CF-AdministrativeGender",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-CF-AdministrativeGender",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2495
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.1.11.1'"
            },
            "expression": [
              "ConceptMap/CF-AdministrativeGender: ConceptMap.source.ofType(uri)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ConceptMap-CF-AllergyIntoleranceCategory",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-CF-AllergyIntoleranceCategory",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3701
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.88.12.3221.6.2'"
            },
            "expression": [
              "ConceptMap/CF-AllergyIntoleranceCategory: ConceptMap.source.ofType(uri)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ConceptMap-CF-AllergyIntoleranceType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-CF-AllergyIntoleranceType",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3579
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.88.12.3221.6.2'"
            },
            "expression": [
              "ConceptMap/CF-AllergyIntoleranceType: ConceptMap.source.ofType(uri)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ConceptMap-CF-AllergyStatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-CF-AllergyStatus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2527
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1099.29'"
            },
            "expression": [
              "ConceptMap/CF-AllergyStatus: ConceptMap.source.ofType(uri)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ConceptMap-CF-ConditionClinicalStatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-CF-ConditionClinicalStatus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2722
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.11.20.9.19'"
            },
            "expression": [
              "ConceptMap/CF-ConditionClinicalStatus: ConceptMap.source.ofType(uri)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2864
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://vsac.nlm.nih.gov/CodeSystem/2.16.840.1.113883.5.14'"
            },
            "expression": [
              "ConceptMap/CF-ConditionClinicalStatus: ConceptMap.group[0].source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ConceptMap-CF-Criticality",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-CF-Criticality",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2586
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.1.11.20549'"
            },
            "expression": [
              "ConceptMap/CF-Criticality: ConceptMap.source.ofType(uri)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ConceptMap-CF-EncounterStatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-CF-EncounterStatus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_VS_NOT_A_VS"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Reference must be to a ValueSet, but found a CodeSystem instead"
            },
            "expression": [
              "ConceptMap/CF-EncounterStatus: ConceptMap.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_VS_NOT_A_VS"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Reference must be to a ValueSet, but found a CodeSystem instead"
            },
            "expression": [
              "ConceptMap/CF-EncounterStatus: ConceptMap.target"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ConceptMap-CF-ImmunizationStatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-CF-ImmunizationStatus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5598
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.1.11.15933'"
            },
            "expression": [
              "ConceptMap/CF-ImmunizationStatus: ConceptMap.source.ofType(uri)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5667
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://hl7.org/fhir/valueset-immunization-status.html'"
            },
            "expression": [
              "ConceptMap/CF-ImmunizationStatus: ConceptMap.target.ofType(uri)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ConceptMap-CF-MedActivityMood",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-CF-MedActivityMood",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2605
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.11.20.9.18'"
            },
            "expression": [
              "ConceptMap/CF-MedActivityMood: ConceptMap.source.ofType(uri)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2757
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://terminology.hl7.org/CodeSystem/2.16.840.1.113883.5.1001'"
            },
            "expression": [
              "ConceptMap/CF-MedActivityMood: ConceptMap.group[0].source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ConceptMap-CF-MedicationStatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-CF-MedicationStatus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2917
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1099.11'"
            },
            "expression": [
              "ConceptMap/CF-MedicationStatus: ConceptMap.source.ofType(uri)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ConceptMap-CF-NameUse",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-CF-NameUse",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6014
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.1.11.15913'"
            },
            "expression": [
              "ConceptMap/CF-NameUse: ConceptMap.source.ofType(uri)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ConceptMap-CF-NoKnownAllergies",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-CF-NoKnownAllergies",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4097
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.88.12.3221.6.2/'"
            },
            "expression": [
              "ConceptMap/CF-NoKnownAllergies: ConceptMap.source.ofType(uri)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4175
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1186.8/'"
            },
            "expression": [
              "ConceptMap/CF-NoKnownAllergies: ConceptMap.target.ofType(uri)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ConceptMap-CF-NullFlavorDataAbsentReason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-CF-NullFlavorDataAbsentReason"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ConceptMap-CF-ProblemCategory",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-CF-ProblemCategory"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ConceptMap-CF-ProblemStatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-CF-ProblemStatus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3149
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.88.12.80.68'"
            },
            "expression": [
              "ConceptMap/CF-ProblemStatus: ConceptMap.source.ofType(uri)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ConceptMap-CF-ProcedureStatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-CF-ProcedureStatus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2586
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.11.20.9.22'"
            },
            "expression": [
              "ConceptMap/CF-ProcedureStatus: ConceptMap.source.ofType(uri)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ConceptMap-CF-ResultReportStatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-CF-ResultReportStatus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.11.20.9.39'"
            },
            "expression": [
              "ConceptMap/CF-ResultReportStatus: ConceptMap.source.ofType(uri)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3383
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://terminology.hl7.org/CodeSystem/2.16.840.1.113883.5.14'"
            },
            "expression": [
              "ConceptMap/CF-ResultReportStatus: ConceptMap.group[0].source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ConceptMap-CF-ResultStatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-CF-ResultStatus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3165
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.11.20.9.39'"
            },
            "expression": [
              "ConceptMap/CF-ResultStatus: ConceptMap.source.ofType(uri)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3309
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://terminology.hl7.org/CodeSystem/2.16.840.1.113883.5.14'"
            },
            "expression": [
              "ConceptMap/CF-ResultStatus: ConceptMap.group[0].source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ConceptMap-CF-Severity",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-CF-Severity",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2450
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.88.12.3221.6.8'"
            },
            "expression": [
              "ConceptMap/CF-Severity: ConceptMap.source.ofType(uri)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ConceptMap-CF-TelecomType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-CF-TelecomType"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ConceptMap-CF-TelecomUse",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-CF-TelecomUse"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ConceptMap-FC-AddressUse",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-FC-AddressUse",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4631
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.1.11.10637'"
            },
            "expression": [
              "ConceptMap/FC-AddressUse: ConceptMap.target.ofType(uri)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ConceptMap-FC-AdministrativeGender",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-FC-AdministrativeGender",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2713
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.1.11.1'"
            },
            "expression": [
              "ConceptMap/FC-AdministrativeGender: ConceptMap.target.ofType(uri)"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ConceptMap-FC-AllergyIntoleranceCategory",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-FC-AllergyIntoleranceCategory",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7081
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.88.12.3221.6.2'"
            },
            "expression": [
              "ConceptMap/FC-AllergyIntoleranceCategory: ConceptMap.target.ofType(uri)"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ConceptMap-FC-AllergyIntoleranceType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-FC-AllergyIntoleranceType",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.88.12.3221.6.2'"
            },
            "expression": [
              "ConceptMap/FC-AllergyIntoleranceType: ConceptMap.target.ofType(uri)"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ConceptMap-FC-AllergyStatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-FC-AllergyStatus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1099.29'"
            },
            "expression": [
              "ConceptMap/FC-AllergyStatus: ConceptMap.target.ofType(uri)"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ConceptMap-FC-Criticality",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-FC-Criticality",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.1.11.20549'"
            },
            "expression": [
              "ConceptMap/FC-Criticality: ConceptMap.target.ofType(uri)"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ConceptMap-FC-DataAbsentReasonNullFlavor",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-FC-DataAbsentReasonNullFlavor"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ConceptMap-FC-ImmunizationRefusal",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-FC-ImmunizationRefusal",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.1.11.19717'"
            },
            "expression": [
              "ConceptMap/FC-ImmunizationRefusal: ConceptMap.target.ofType(uri)"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ConceptMap-FC-ImmunizationSite",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-FC-ImmunizationSite",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://hl7.org/fhir/valueset-immunization-site.html'"
            },
            "expression": [
              "ConceptMap/FC-ImmunizationSite: ConceptMap.source.ofType(uri)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.88.12.3221.8.9'"
            },
            "expression": [
              "ConceptMap/FC-ImmunizationSite: ConceptMap.target.ofType(uri)"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ConceptMap-FC-ImmunizationStatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-FC-ImmunizationStatus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://hl7.org/fhir/valueset-immunization-status.html'"
            },
            "expression": [
              "ConceptMap/FC-ImmunizationStatus: ConceptMap.source.ofType(uri)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.1.11.15933'"
            },
            "expression": [
              "ConceptMap/FC-ImmunizationStatus: ConceptMap.target.ofType(uri)"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ConceptMap-FC-MedicationStatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-FC-MedicationStatus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3273
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1099.11'"
            },
            "expression": [
              "ConceptMap/FC-MedicationStatus: ConceptMap.target.ofType(uri)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ConceptMap-FC-NameUse",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-FC-NameUse",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5048
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.1.11.15913'"
            },
            "expression": [
              "ConceptMap/FC-NameUse: ConceptMap.target.ofType(uri)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ConceptMap-FC-NoKnownAllergies",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-FC-NoKnownAllergies",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3137
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1186.8/'"
            },
            "expression": [
              "ConceptMap/FC-NoKnownAllergies: ConceptMap.source.ofType(uri)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3221
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.88.12.3221.6.2/'"
            },
            "expression": [
              "ConceptMap/FC-NoKnownAllergies: ConceptMap.target.ofType(uri)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ConceptMap-FC-ObservationStatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-FC-ObservationStatus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3307
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.11.20.9.39'"
            },
            "expression": [
              "ConceptMap/FC-ObservationStatus: ConceptMap.target.ofType(uri)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3439
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://terminology.hl7.org/CodeSystem/2.16.840.1.113883.5.14'"
            },
            "expression": [
              "ConceptMap/FC-ObservationStatus: ConceptMap.group[0].target"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ConceptMap-FC-ProblemCategory",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-FC-ProblemCategory"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ConceptMap-FC-ProblemStatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-FC-ProblemStatus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3211
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.88.12.80.68'"
            },
            "expression": [
              "ConceptMap/FC-ProblemStatus: ConceptMap.target.ofType(uri)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ConceptMap-FC-ProcedureStatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-FC-ProcedureStatus",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4762
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.11.20.9.22'"
            },
            "expression": [
              "ConceptMap/FC-ProcedureStatus: ConceptMap.target.ofType(uri)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ConceptMap-FC-Severity",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-FC-Severity",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2517
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.88.12.3221.6.8'"
            },
            "expression": [
              "ConceptMap/FC-Severity: ConceptMap.target.ofType(uri)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ConceptMap-FC-TelecomType",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-FC-TelecomType"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ConceptMap-FC-TelecomUse",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-FC-TelecomUse"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/StructureDefinition-US-Realm-Header",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-US-Realm-Header",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 161
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#bY1W9IGf5zWYeBRy' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "StructureDefinition/US-Realm-Header: StructureDefinition.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 84827
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.1.0', found versions: 4.0.1, 5.1.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber' to 'http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber|5.1.0'"
            },
            "expression": [
              "StructureDefinition/US-Realm-Header: StructureDefinition.snapshot.element[8].type[0].profile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/StructureDefinition-Care-Plan-Document",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Care-Plan-Document",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 163
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#fHnxrwoyrdUYLnFF' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "StructureDefinition/Care-Plan-Document: StructureDefinition.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 114634
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.1.0', found versions: 4.0.1, 5.1.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber' to 'http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber|5.1.0'"
            },
            "expression": [
              "StructureDefinition/Care-Plan-Document: StructureDefinition.snapshot.element[8].type[0].profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 303682
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The slice 'care_plan' on path 'Composition.event.detail' is not marked as 'must-support' which is not consistent with the element that defines the slicing, where 'must-support' is true"
            },
            "expression": [
              "StructureDefinition/Care-Plan-Document: StructureDefinition.snapshot"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/StructureDefinition-Consultation-Note",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Consultation-Note",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 163
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#j21iyLdl5SyihDjY' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "StructureDefinition/Consultation-Note: StructureDefinition.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 463182
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.1.0', found versions: 4.0.1, 5.1.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber' to 'http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber|5.1.0'"
            },
            "expression": [
              "StructureDefinition/Consultation-Note: StructureDefinition.snapshot.element[8].type[0].profile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/StructureDefinition-Continuity-of-Care-Document",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Continuity-of-Care-Document",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 173
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#csn482LCsnDWyxbW' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "StructureDefinition/Continuity-of-Care-Document: StructureDefinition.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 410558
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.1.0', found versions: 4.0.1, 5.1.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber' to 'http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber|5.1.0'"
            },
            "expression": [
              "StructureDefinition/Continuity-of-Care-Document: StructureDefinition.snapshot.element[8].type[0].profile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/StructureDefinition-Diagnostic-Imaging-Report",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Diagnostic-Imaging-Report",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 170
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#KLkt9mqJ1KVD1c7X' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "StructureDefinition/Diagnostic-Imaging-Report: StructureDefinition.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 181760
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.1.0', found versions: 4.0.1, 5.1.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber' to 'http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber|5.1.0'"
            },
            "expression": [
              "StructureDefinition/Diagnostic-Imaging-Report: StructureDefinition.snapshot.element[8].type[0].profile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/StructureDefinition-Discharge-Summary",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Discharge-Summary",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 162
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#tpHisPoQwM38OhgE' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "StructureDefinition/Discharge-Summary: StructureDefinition.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 500535
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.1.0', found versions: 4.0.1, 5.1.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber' to 'http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber|5.1.0'"
            },
            "expression": [
              "StructureDefinition/Discharge-Summary: StructureDefinition.snapshot.element[8].type[0].profile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/StructureDefinition-History-and-Physical",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-History-and-Physical",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 165
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#NprCJyaq05GzNeOJ' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "StructureDefinition/History-and-Physical: StructureDefinition.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 393800
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.1.0', found versions: 4.0.1, 5.1.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber' to 'http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber|5.1.0'"
            },
            "expression": [
              "StructureDefinition/History-and-Physical: StructureDefinition.snapshot.element[8].type[0].profile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/StructureDefinition-Operative-Note",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Operative-Note",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 159
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#d3bmkvD1SJvgcAtp' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "StructureDefinition/Operative-Note: StructureDefinition.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 291726
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.1.0', found versions: 4.0.1, 5.1.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber' to 'http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber|5.1.0'"
            },
            "expression": [
              "StructureDefinition/Operative-Note: StructureDefinition.snapshot.element[8].type[0].profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 728121
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The slice 'sliceEntry' on path 'Composition.section.entry' is not marked as 'must-support' which is not consistent with the element that defines the slicing, where 'must-support' is true"
            },
            "expression": [
              "StructureDefinition/Operative-Note: StructureDefinition.snapshot"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/StructureDefinition-Procedure-Note",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Procedure-Note",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 159
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#b9WEhafsbLr7h0uf' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "StructureDefinition/Procedure-Note: StructureDefinition.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 501996
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.1.0', found versions: 4.0.1, 5.1.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber' to 'http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber|5.1.0'"
            },
            "expression": [
              "StructureDefinition/Procedure-Note: StructureDefinition.snapshot.element[8].type[0].profile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/StructureDefinition-Progress-Note",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Progress-Note",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 158
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#A9Jys0rnZ6U9uQpr' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "StructureDefinition/Progress-Note: StructureDefinition.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 306704
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.1.0', found versions: 4.0.1, 5.1.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber' to 'http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber|5.1.0'"
            },
            "expression": [
              "StructureDefinition/Progress-Note: StructureDefinition.snapshot.element[8].type[0].profile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/StructureDefinition-Referral-Note",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Referral-Note",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 159
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#hZbRa2U1Vtc1M6i6' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "StructureDefinition/Referral-Note: StructureDefinition.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 489646
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.1.0', found versions: 4.0.1, 5.1.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber' to 'http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber|5.1.0'"
            },
            "expression": [
              "StructureDefinition/Referral-Note: StructureDefinition.snapshot.element[8].type[0].profile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/StructureDefinition-Transfer-Summary",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Transfer-Summary",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 162
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#DpnmBKyxdzf8noQR' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "StructureDefinition/Transfer-Summary: StructureDefinition.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 516327
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.1.0', found versions: 4.0.1, 5.1.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber' to 'http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber|5.1.0'"
            },
            "expression": [
              "StructureDefinition/Transfer-Summary: StructureDefinition.snapshot.element[8].type[0].profile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ValueSet-2.16.840.1.113883.1.11.20.2.3",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-2.16.840.1.113883.1.11.20.2.3",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 163
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#JslZ3iUZTEut4Ehu' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "ValueSet/2.16.840.1.113883.1.11.20.2.3: ValueSet.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ValueSet-2.16.840.1.113883.1.11.20.2.4",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-2.16.840.1.113883.1.11.20.2.4",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 163
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#J5leCsKPn0gyItgS' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "ValueSet/2.16.840.1.113883.1.11.20.2.4: ValueSet.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ValueSet-2.16.840.1.113883.1.11.20.22",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-2.16.840.1.113883.1.11.20.22",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 162
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#UQHxYsUhbLhPRes1' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "ValueSet/2.16.840.1.113883.1.11.20.22: ValueSet.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ValueSet-2.16.840.1.113883.11.20.1.1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-2.16.840.1.113883.11.20.1.1",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 161
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#TGF9CHNWdziFGXop' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "ValueSet/2.16.840.1.113883.11.20.1.1: ValueSet.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ValueSet-2.16.840.1.113883.11.20.4.1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-2.16.840.1.113883.11.20.4.1",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 161
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#8awj3JDXaUCFNlQA' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "ValueSet/2.16.840.1.113883.11.20.4.1: ValueSet.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ValueSet-2.16.840.1.113883.11.20.6.1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-2.16.840.1.113883.11.20.6.1",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 161
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#af5tUShc5DIhxYJS' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "ValueSet/2.16.840.1.113883.11.20.6.1: ValueSet.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ValueSet-2.16.840.1.113883.11.20.8.1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-2.16.840.1.113883.11.20.8.1",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 161
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#VmlRX1mG0gTJ10zG' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "ValueSet/2.16.840.1.113883.11.20.8.1: ValueSet.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ValueSet-2.16.840.1.113883.11.20.9.31",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-2.16.840.1.113883.11.20.9.31",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 162
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#tECJbt4f4F0j476q' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "ValueSet/2.16.840.1.113883.11.20.9.31: ValueSet.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ValueSet-1.3.6.1.4.1.12009.10.2.5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-1.3.6.1.4.1.12009.10.2.5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ValueSet-2.16.840.1.113762.1.4.1099.10",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-2.16.840.1.113762.1.4.1099.10",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 163
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#49QzE2rZjBWNk32p' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "ValueSet/2.16.840.1.113762.1.4.1099.10: ValueSet.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/Composition-Care-Plan-Example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Composition-Care-Plan-Example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#jOiomrQ69OIQipUi' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "Composition/Care-Plan-Example: Composition.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/PractitionerRole-ccda-practitionerrole-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "PractitionerRole-ccda-practitionerrole-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#kub40Eilc2HLDH2p' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "PractitionerRole/ccda-practitionerrole-example: PractitionerRole.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/Practitioner-ccda-practitioner-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Practitioner-ccda-practitioner-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#csn482LCsnDWyxbW' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "Practitioner/ccda-practitioner-example: Practitioner.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/Organization-acme-lab",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Organization-acme-lab",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#csn482LCsnDWyxbW' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "Organization/acme-lab: Organization.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/Patient-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Patient-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#T77feouCUwFbnN3H' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "Patient/example: Patient.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 90
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 60
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hospital.smarthealthit.org'"
            },
            "expression": [
              "Patient/example: Patient.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/Patient-CF-patient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Patient-CF-patient",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 43
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 56
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.3.6.1.4.1.22812.3.2009316.3'"
            },
            "expression": [
              "Patient/CF-patient: Patient.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/Composition-Consultation-Note-Example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Composition-Consultation-Note-Example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#csn482LCsnDWyxbW' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "Composition/Consultation-Note-Example: Composition.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 361
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Advance directives' for http://loinc.org#42348-3. Valid display is one of 3 choices: 'Advance healthcare directives' (en-US), 'Advance healthcare directives' (en-US) or 'Adv healthcare directives' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "Composition/Consultation-Note-Example: Composition.section[0].code.coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/Composition-Continuity-of-Care-Document-Example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Composition-Continuity-of-Care-Document-Example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#csn482LCsnDWyxbW' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "Composition/Continuity-of-Care-Document-Example: Composition.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 584
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Advance directives' for http://loinc.org#42348-3. Valid display is one of 3 choices: 'Advance healthcare directives' (en-US), 'Advance healthcare directives' (en-US) or 'Adv healthcare directives' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "Composition/Continuity-of-Care-Document-Example: Composition.section[5].code.coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/Composition-Diagnostic-Imaging-Report-Example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Composition-Diagnostic-Imaging-Report-Example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#csn482LCsnDWyxbW' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "Composition/Diagnostic-Imaging-Report-Example: Composition.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/Composition-Discharge-Summary-Example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Composition-Discharge-Summary-Example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#csn482LCsnDWyxbW' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "Composition/Discharge-Summary-Example: Composition.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/Composition-History-and-Physical-Example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Composition-History-and-Physical-Example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#csn482LCsnDWyxbW' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "Composition/History-and-Physical-Example: Composition.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/Composition-Operative-Note-Example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Composition-Operative-Note-Example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#csn482LCsnDWyxbW' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "Composition/Operative-Note-Example: Composition.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/Composition-Procedure-Note-Example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Composition-Procedure-Note-Example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#csn482LCsnDWyxbW' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "Composition/Procedure-Note-Example: Composition.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/Composition-Progress-Note-Example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Composition-Progress-Note-Example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#csn482LCsnDWyxbW' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "Composition/Progress-Note-Example: Composition.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/Composition-Referral-Note-Example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Composition-Referral-Note-Example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#csn482LCsnDWyxbW' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "Composition/Referral-Note-Example: Composition.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 389
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Advance directives' for http://loinc.org#42348-3. Valid display is one of 3 choices: 'Advance healthcare directives' (en-US), 'Advance healthcare directives' (en-US) or 'Adv healthcare directives' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "Composition/Referral-Note-Example: Composition.section[1].code.coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/Composition-Transfer-Summary-Example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Composition-Transfer-Summary-Example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#csn482LCsnDWyxbW' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "Composition/Transfer-Summary-Example: Composition.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 395
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Advance directives' for http://loinc.org#42348-3. Valid display is one of 3 choices: 'Advance healthcare directives' (en-US), 'Advance healthcare directives' (en-US) or 'Adv healthcare directives' (en-US) (for the language(s) 'en-US')"
            },
            "expression": [
              "Composition/Transfer-Summary-Example: Composition.section[1].code.coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/Practitioner-practitioner-1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Practitioner-practitioner-1",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#M6c1wK1icMwvk3Ul' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "Practitioner/practitioner-1: Practitioner.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/Encounter-example-1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Encounter-example-1",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 40
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#GNI3ZHMkjDg95t5Z' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "Encounter/example-1: Encounter.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/Encounter-encounter-1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Encounter-encounter-1",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#csn482LCsnDWyxbW' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "Encounter/encounter-1: Encounter.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/AllergyIntolerance-allergy-intolerance",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "AllergyIntolerance-allergy-intolerance",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#csn482LCsnDWyxbW' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "AllergyIntolerance/allergy-intolerance: AllergyIntolerance.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/AllergyIntolerance-CF-allergy",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "AllergyIntolerance-CF-allergy",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.3.6.1.4.1.22812.3.2009316.3.4.10.2'"
            },
            "expression": [
              "AllergyIntolerance/CF-allergy: AllergyIntolerance.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.3.6.1.4.1.22812.3.2009316.3.4.10.2'"
            },
            "expression": [
              "AllergyIntolerance/CF-allergy: AllergyIntolerance.identifier[1].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/AllergyIntolerance-FC-allergy",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "AllergyIntolerance-FC-allergy",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.3.6.1.4.1.22812.3.2009316.3.4.10.2'"
            },
            "expression": [
              "AllergyIntolerance/FC-allergy: AllergyIntolerance.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 18
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 63
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.3.6.1.4.1.22812.3.2009316.3.4.10.2'"
            },
            "expression": [
              "AllergyIntolerance/FC-allergy: AllergyIntolerance.identifier[1].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/Immunization-immunization",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Immunization-immunization",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#GZdcyuPrL6zv6dDA' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "Immunization/immunization: Immunization.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/Immunization-CF-immunization",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Immunization-CF-immunization"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/Immunization-FC-immunization",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Immunization-FC-immunization",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 18
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 62
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:2.16.840.1.113883.19.5.9999.456'"
            },
            "expression": [
              "Immunization/FC-immunization: Immunization.contained[0]/*Practitioner/1*/.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/MedicationStatement-medication-statement",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationStatement-medication-statement",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#DEai5xNhh8KqJU2w' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "MedicationStatement/medication-statement: MedicationStatement.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/MedicationRequest-CF-medication",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationRequest-CF-medication"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/MedicationRequest-FC-medication",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationRequest-FC-medication"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/Condition-condition-problem",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-condition-problem",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 40
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#csn482LCsnDWyxbW' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "Condition/condition-problem: Condition.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/Condition-CF-problem",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-CF-problem",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 64
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.3.6.1.4.1.22812.3.2009316.3.4.1.2.1'"
            },
            "expression": [
              "Condition/CF-problem: Condition.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 37
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code '486' in the CodeSystem 'http://hl7.org/fhir/sid/icd-9-cm' version '2015' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Condition/CF-problem: Condition.code.coding[1].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 37
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.3.247.1.1' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Condition/CF-problem: Condition.code.coding[3].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/Condition-FC-problem",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-FC-problem",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 64
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.3.6.1.4.1.22812.3.2009316.3.4.1.2.1'"
            },
            "expression": [
              "Condition/FC-problem: Condition.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 40
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code '486' in the CodeSystem 'http://hl7.org/fhir/sid/icd-9-cm' version '2015' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Condition/FC-problem: Condition.code.coding[1].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 40
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.113883.3.247.1.1' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Condition/FC-problem: Condition.code.coding[3]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/Observation-observation-lab-urine",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-lab-urine",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#csn482LCsnDWyxbW' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "Observation/observation-lab-urine: Observation.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/observation-lab-urine: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/Observation-observation-smoker",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-smoker",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#csn482LCsnDWyxbW' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "Observation/observation-smoker: Observation.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/observation-smoker: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/Observation-observation-vitals-temp",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-vitals-temp",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#csn482LCsnDWyxbW' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "Observation/observation-vitals-temp: Observation.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 33
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/observation-vitals-temp: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/Procedure-procedure-rehab",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-procedure-rehab",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#uHmbKLN3xl8PqGKy' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "Procedure/procedure-rehab: Procedure.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/Procedure-CF-procedure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-CF-procedure",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 60
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.3.6.1.4.1.22812.3.2009316.3.4.7'"
            },
            "expression": [
              "Procedure/CF-procedure: Procedure.identifier[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 60
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'urn:oid:1.3.6.1.4.1.22812.3.2009316.3.4.7'"
            },
            "expression": [
              "Procedure/CF-procedure: Procedure.identifier[1].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/Procedure-rehab",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-rehab",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#EupP8o6u3BWyAdUl' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "Procedure/rehab: Procedure.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/Organization-organization-2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Organization-organization-2",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#csn482LCsnDWyxbW' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "Organization/organization-2: Organization.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/Organization-organization-1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Organization-organization-1",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#csn482LCsnDWyxbW' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "Organization/organization-1: Organization.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/ServiceRequest-colonoscopy",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ServiceRequest-colonoscopy",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#hVY6YnnbJ9SDswTw' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "ServiceRequest/colonoscopy: ServiceRequest.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/Consent-consent-example-basic",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Consent-consent-example-basic",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 44
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#OBOGLY1IcS3QsGrB' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "Consent/consent-example-basic: Consent.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/StructureDefinition-AuthorizationExtension",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-AuthorizationExtension",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 167
              },
              {
                "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_INTERNAL_WARN"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The URL value '#csn482LCsnDWyxbW' might be wrong because it appears to point to an internal target, but there is no matching target"
            },
            "expression": [
              "StructureDefinition/AuthorizationExtension: StructureDefinition.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ccda/OperationOutcome/StructureDefinition-InformantExtension",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-InformantExtension",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 163
              },
              {
                "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_INTERNAL_WARN"
              }
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              "text": "The URL value '#csn482LCsnDWyxbW' might be wrong because it appears to point to an internal target, but there is no matching target"
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              "text": "The URL value '#csn482LCsnDWyxbW' might be wrong because it appears to point to an internal target, but there is no matching target"
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      "resource": {
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}