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Packagehl7.fhir.us.dental-data-exchange
Resource TypeBundle
Idvalidation-oo.json
FHIR VersionR4

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Narrative

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Source1

{
  "resourceType": "Bundle",
  "type": "collection",
  "timestamp": "2025-04-07T18:43:51.570+00:00",
  "entry": [
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/ImplementationGuide-hl7.fhir.us.dental-data-exchange",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ImplementationGuide-hl7.fhir.us.dental-data-exchange",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 179
              },
              {
                "url": "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": "URL value '#BeJixuBWtcDDUccU' does not resolve"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.us.dental-data-exchange: 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": 59776
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_WG_NEEDED"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "When HL7 is publishing a resource, the owning committee must be stated using the http://hl7.org/fhir/StructureDefinition/structuredefinition-wg extension"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.us.dental-data-exchange: ImplementationGuide"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6329
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "IG_DEPENDENCY_VERSION_WARNING_OLD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The ImplementationGuide uses package hl7.fhir.us.core#6.1.0 released on 2023-06-30, but the most recent appropriate version is 7.0.0. This reference is getting old and the more recent version should be considered"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.us.dental-data-exchange: 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": 59776
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "IG_HL7_STANDARDS_STATUS_REQUIRED"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "HL7 Implementation Guides must state their status explicitly using the extension http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.us.dental-data-exchange: ImplementationGuide"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 59776
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "IG_HL7_WG_REQUIRED"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "HL7 Implementation Guides must state their owning workgroup explicitly using the extension http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.us.dental-data-exchange: ImplementationGuide"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 59776
              },
              {
                "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.dental-data-exchange: ImplementationGuide"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Condition-CariesTooth10-example-dental-condition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-CariesTooth10-example-dental-condition",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 74
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition' does not resolve"
            },
            "expression": [
              "Condition/CariesTooth10-example-dental-condition: Condition.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXTP_Context_Wrong"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/bodySite is not allowed to be used at this point (allowed = e:Condition.bodySite, e:Observation.bodySite, e:Procedure.bodySite, e:MedicationAdministration.dose, e:Dosage.site; this element is [Condition])"
            },
            "expression": [
              "Condition/CariesTooth10-example-dental-condition: Condition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition' has not been checked because it could not be found, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Condition/CariesTooth10-example-dental-condition: Condition.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Condition-CariesTooth11-example-dental-condition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-CariesTooth11-example-dental-condition",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 74
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition' does not resolve"
            },
            "expression": [
              "Condition/CariesTooth11-example-dental-condition: Condition.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXTP_Context_Wrong"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/bodySite is not allowed to be used at this point (allowed = e:Condition.bodySite, e:Observation.bodySite, e:Procedure.bodySite, e:MedicationAdministration.dose, e:Dosage.site; this element is [Condition])"
            },
            "expression": [
              "Condition/CariesTooth11-example-dental-condition: Condition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition' has not been checked because it could not be found, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Condition/CariesTooth11-example-dental-condition: Condition.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Condition-CariesTooth12-example-dental-condition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-CariesTooth12-example-dental-condition",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 74
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition' does not resolve"
            },
            "expression": [
              "Condition/CariesTooth12-example-dental-condition: Condition.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXTP_Context_Wrong"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/bodySite is not allowed to be used at this point (allowed = e:Condition.bodySite, e:Observation.bodySite, e:Procedure.bodySite, e:MedicationAdministration.dose, e:Dosage.site; this element is [Condition])"
            },
            "expression": [
              "Condition/CariesTooth12-example-dental-condition: Condition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition' has not been checked because it could not be found, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Condition/CariesTooth12-example-dental-condition: Condition.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Condition-CariesTooth13-example-dental-condition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-CariesTooth13-example-dental-condition",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 74
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition' does not resolve"
            },
            "expression": [
              "Condition/CariesTooth13-example-dental-condition: Condition.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXTP_Context_Wrong"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/bodySite is not allowed to be used at this point (allowed = e:Condition.bodySite, e:Observation.bodySite, e:Procedure.bodySite, e:MedicationAdministration.dose, e:Dosage.site; this element is [Condition])"
            },
            "expression": [
              "Condition/CariesTooth13-example-dental-condition: Condition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition' has not been checked because it could not be found, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Condition/CariesTooth13-example-dental-condition: Condition.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Condition-CariesTooth14-example-dental-condition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-CariesTooth14-example-dental-condition",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 74
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition' does not resolve"
            },
            "expression": [
              "Condition/CariesTooth14-example-dental-condition: Condition.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXTP_Context_Wrong"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/bodySite is not allowed to be used at this point (allowed = e:Condition.bodySite, e:Observation.bodySite, e:Procedure.bodySite, e:MedicationAdministration.dose, e:Dosage.site; this element is [Condition])"
            },
            "expression": [
              "Condition/CariesTooth14-example-dental-condition: Condition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition' has not been checked because it could not be found, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Condition/CariesTooth14-example-dental-condition: Condition.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Condition-CariesTooth15-example-dental-condition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-CariesTooth15-example-dental-condition",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 74
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition' does not resolve"
            },
            "expression": [
              "Condition/CariesTooth15-example-dental-condition: Condition.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXTP_Context_Wrong"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/bodySite is not allowed to be used at this point (allowed = e:Condition.bodySite, e:Observation.bodySite, e:Procedure.bodySite, e:MedicationAdministration.dose, e:Dosage.site; this element is [Condition])"
            },
            "expression": [
              "Condition/CariesTooth15-example-dental-condition: Condition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition' has not been checked because it could not be found, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Condition/CariesTooth15-example-dental-condition: Condition.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Condition-CariesTooth2-example-dental-condition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-CariesTooth2-example-dental-condition",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 74
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition' does not resolve"
            },
            "expression": [
              "Condition/CariesTooth2-example-dental-condition: Condition.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXTP_Context_Wrong"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/bodySite is not allowed to be used at this point (allowed = e:Condition.bodySite, e:Observation.bodySite, e:Procedure.bodySite, e:MedicationAdministration.dose, e:Dosage.site; this element is [Condition])"
            },
            "expression": [
              "Condition/CariesTooth2-example-dental-condition: Condition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition' has not been checked because it could not be found, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Condition/CariesTooth2-example-dental-condition: Condition.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Condition-CariesTooth3-example-dental-condition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-CariesTooth3-example-dental-condition",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 74
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition' does not resolve"
            },
            "expression": [
              "Condition/CariesTooth3-example-dental-condition: Condition.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXTP_Context_Wrong"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/bodySite is not allowed to be used at this point (allowed = e:Condition.bodySite, e:Observation.bodySite, e:Procedure.bodySite, e:MedicationAdministration.dose, e:Dosage.site; this element is [Condition])"
            },
            "expression": [
              "Condition/CariesTooth3-example-dental-condition: Condition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition' has not been checked because it could not be found, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Condition/CariesTooth3-example-dental-condition: Condition.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Condition-CariesTooth4-example-dental-condition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-CariesTooth4-example-dental-condition",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 74
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition' does not resolve"
            },
            "expression": [
              "Condition/CariesTooth4-example-dental-condition: Condition.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXTP_Context_Wrong"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/bodySite is not allowed to be used at this point (allowed = e:Condition.bodySite, e:Observation.bodySite, e:Procedure.bodySite, e:MedicationAdministration.dose, e:Dosage.site; this element is [Condition])"
            },
            "expression": [
              "Condition/CariesTooth4-example-dental-condition: Condition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition' has not been checked because it could not be found, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Condition/CariesTooth4-example-dental-condition: Condition.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Condition-CariesTooth5-example-dental-condition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-CariesTooth5-example-dental-condition",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 74
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition' does not resolve"
            },
            "expression": [
              "Condition/CariesTooth5-example-dental-condition: Condition.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXTP_Context_Wrong"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/bodySite is not allowed to be used at this point (allowed = e:Condition.bodySite, e:Observation.bodySite, e:Procedure.bodySite, e:MedicationAdministration.dose, e:Dosage.site; this element is [Condition])"
            },
            "expression": [
              "Condition/CariesTooth5-example-dental-condition: Condition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition' has not been checked because it could not be found, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Condition/CariesTooth5-example-dental-condition: Condition.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Condition-CariesTooth6-example-dental-condition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-CariesTooth6-example-dental-condition",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 74
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition' does not resolve"
            },
            "expression": [
              "Condition/CariesTooth6-example-dental-condition: Condition.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 42
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong whitespace in Display Name '\tPermanent maxillary right canine tooth' for http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem#6. Valid display is 'Permanent maxillary right canine tooth' (for the language(s) 'en-US')"
            },
            "expression": [
              "Condition/CariesTooth6-example-dental-condition: Condition.contained[0]/*BodyStructure/bs6buccal*/.location.coding[1].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 52
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 66
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_String_WS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "value should not start or finish with whitespace '\\tPermanent maxillary right canine tooth'"
            },
            "expression": [
              "Condition/CariesTooth6-example-dental-condition: Condition.contained[0]/*BodyStructure/bs6buccal*/.location.coding[1].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXTP_Context_Wrong"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/bodySite is not allowed to be used at this point (allowed = e:Condition.bodySite, e:Observation.bodySite, e:Procedure.bodySite, e:MedicationAdministration.dose, e:Dosage.site; this element is [Condition])"
            },
            "expression": [
              "Condition/CariesTooth6-example-dental-condition: Condition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition' has not been checked because it could not be found, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Condition/CariesTooth6-example-dental-condition: Condition.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Condition-CariesTooth7-example-dental-condition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-CariesTooth7-example-dental-condition",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 74
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition' does not resolve"
            },
            "expression": [
              "Condition/CariesTooth7-example-dental-condition: Condition.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXTP_Context_Wrong"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/bodySite is not allowed to be used at this point (allowed = e:Condition.bodySite, e:Observation.bodySite, e:Procedure.bodySite, e:MedicationAdministration.dose, e:Dosage.site; this element is [Condition])"
            },
            "expression": [
              "Condition/CariesTooth7-example-dental-condition: Condition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition' has not been checked because it could not be found, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Condition/CariesTooth7-example-dental-condition: Condition.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Condition-CariesTooth8-example-dental-condition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-CariesTooth8-example-dental-condition",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 74
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition' does not resolve"
            },
            "expression": [
              "Condition/CariesTooth8-example-dental-condition: Condition.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXTP_Context_Wrong"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/bodySite is not allowed to be used at this point (allowed = e:Condition.bodySite, e:Observation.bodySite, e:Procedure.bodySite, e:MedicationAdministration.dose, e:Dosage.site; this element is [Condition])"
            },
            "expression": [
              "Condition/CariesTooth8-example-dental-condition: Condition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition' has not been checked because it could not be found, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Condition/CariesTooth8-example-dental-condition: Condition.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Condition-CariesTooth9-example-dental-condition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-CariesTooth9-example-dental-condition",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 74
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition' does not resolve"
            },
            "expression": [
              "Condition/CariesTooth9-example-dental-condition: Condition.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXTP_Context_Wrong"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/bodySite is not allowed to be used at this point (allowed = e:Condition.bodySite, e:Observation.bodySite, e:Procedure.bodySite, e:MedicationAdministration.dose, e:Dosage.site; this element is [Condition])"
            },
            "expression": [
              "Condition/CariesTooth9-example-dental-condition: Condition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition' has not been checked because it could not be found, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Condition/CariesTooth9-example-dental-condition: Condition.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Condition-PeriodontalAbscessTooth8-example-dental-condition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-PeriodontalAbscessTooth8-example-dental-condition",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 74
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition' does not resolve"
            },
            "expression": [
              "Condition/PeriodontalAbscessTooth8-example-dental-condition: Condition.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition' has not been checked because it could not be found, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Condition/PeriodontalAbscessTooth8-example-dental-condition: Condition.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Condition-Rampant-caries-example-dental-condition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-Rampant-caries-example-dental-condition",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 74
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition' does not resolve"
            },
            "expression": [
              "Condition/Rampant-caries-example-dental-condition: Condition.meta.profile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition' has not been checked because it could not be found, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Condition/Rampant-caries-example-dental-condition: Condition.meta.profile[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Procedure-RestorationTooth10-example-dental-procedure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-RestorationTooth10-example-dental-procedure",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXTP_Context_Wrong"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/bodySite is not allowed to be used at this point (allowed = e:Condition.bodySite, e:Observation.bodySite, e:Procedure.bodySite, e:MedicationAdministration.dose, e:Dosage.site; this element is [Procedure])"
            },
            "expression": [
              "Procedure/RestorationTooth10-example-dental-procedure: Procedure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 62
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://www.ada.org/cdt' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Procedure/RestorationTooth10-example-dental-procedure: Procedure.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 62
              },
              {
                "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": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/dental-data-exchange/ValueSet/dental-procedure-codes-vs|2.0.0-ballot' because the code system http://www.ada.org/cdt was not found"
            },
            "expression": [
              "Procedure/RestorationTooth10-example-dental-procedure: Procedure.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 62
              },
              {
                "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": "code-invalid",
            "details": {
              "text": "A definition for CodeSystem 'http://www.ada.org/cdt' could not be found, so the code cannot be validated; Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/dental-data-exchange/ValueSet/dental-procedure-codes-vs|2.0.0-ballot' because the code system http://www.ada.org/cdt was not found"
            },
            "expression": [
              "Procedure/RestorationTooth10-example-dental-procedure: Procedure.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Procedure-RestorationTooth11-example-dental-procedure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-RestorationTooth11-example-dental-procedure",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXTP_Context_Wrong"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/bodySite is not allowed to be used at this point (allowed = e:Condition.bodySite, e:Observation.bodySite, e:Procedure.bodySite, e:MedicationAdministration.dose, e:Dosage.site; this element is [Procedure])"
            },
            "expression": [
              "Procedure/RestorationTooth11-example-dental-procedure: Procedure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 62
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://www.ada.org/cdt' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Procedure/RestorationTooth11-example-dental-procedure: Procedure.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 62
              },
              {
                "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": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/dental-data-exchange/ValueSet/dental-procedure-codes-vs|2.0.0-ballot' because the code system http://www.ada.org/cdt was not found"
            },
            "expression": [
              "Procedure/RestorationTooth11-example-dental-procedure: Procedure.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 62
              },
              {
                "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": "code-invalid",
            "details": {
              "text": "A definition for CodeSystem 'http://www.ada.org/cdt' could not be found, so the code cannot be validated; Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/dental-data-exchange/ValueSet/dental-procedure-codes-vs|2.0.0-ballot' because the code system http://www.ada.org/cdt was not found"
            },
            "expression": [
              "Procedure/RestorationTooth11-example-dental-procedure: Procedure.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Procedure-RestorationTooth12-example-dental-procedure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-RestorationTooth12-example-dental-procedure",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXTP_Context_Wrong"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/bodySite is not allowed to be used at this point (allowed = e:Condition.bodySite, e:Observation.bodySite, e:Procedure.bodySite, e:MedicationAdministration.dose, e:Dosage.site; this element is [Procedure])"
            },
            "expression": [
              "Procedure/RestorationTooth12-example-dental-procedure: Procedure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 62
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://www.ada.org/cdt' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Procedure/RestorationTooth12-example-dental-procedure: Procedure.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 62
              },
              {
                "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": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/dental-data-exchange/ValueSet/dental-procedure-codes-vs|2.0.0-ballot' because the code system http://www.ada.org/cdt was not found"
            },
            "expression": [
              "Procedure/RestorationTooth12-example-dental-procedure: Procedure.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 62
              },
              {
                "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": "code-invalid",
            "details": {
              "text": "A definition for CodeSystem 'http://www.ada.org/cdt' could not be found, so the code cannot be validated; Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/dental-data-exchange/ValueSet/dental-procedure-codes-vs|2.0.0-ballot' because the code system http://www.ada.org/cdt was not found"
            },
            "expression": [
              "Procedure/RestorationTooth12-example-dental-procedure: Procedure.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Procedure-RestorationTooth13-example-dental-procedure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-RestorationTooth13-example-dental-procedure",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXTP_Context_Wrong"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/bodySite is not allowed to be used at this point (allowed = e:Condition.bodySite, e:Observation.bodySite, e:Procedure.bodySite, e:MedicationAdministration.dose, e:Dosage.site; this element is [Procedure])"
            },
            "expression": [
              "Procedure/RestorationTooth13-example-dental-procedure: Procedure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 62
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://www.ada.org/cdt' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Procedure/RestorationTooth13-example-dental-procedure: Procedure.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 62
              },
              {
                "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": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/dental-data-exchange/ValueSet/dental-procedure-codes-vs|2.0.0-ballot' because the code system http://www.ada.org/cdt was not found"
            },
            "expression": [
              "Procedure/RestorationTooth13-example-dental-procedure: Procedure.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 62
              },
              {
                "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": "code-invalid",
            "details": {
              "text": "A definition for CodeSystem 'http://www.ada.org/cdt' could not be found, so the code cannot be validated; Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/dental-data-exchange/ValueSet/dental-procedure-codes-vs|2.0.0-ballot' because the code system http://www.ada.org/cdt was not found"
            },
            "expression": [
              "Procedure/RestorationTooth13-example-dental-procedure: Procedure.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Procedure-RestorationTooth14-example-dental-procedure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-RestorationTooth14-example-dental-procedure",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXTP_Context_Wrong"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/bodySite is not allowed to be used at this point (allowed = e:Condition.bodySite, e:Observation.bodySite, e:Procedure.bodySite, e:MedicationAdministration.dose, e:Dosage.site; this element is [Procedure])"
            },
            "expression": [
              "Procedure/RestorationTooth14-example-dental-procedure: Procedure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 62
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://www.ada.org/cdt' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Procedure/RestorationTooth14-example-dental-procedure: Procedure.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 62
              },
              {
                "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": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/dental-data-exchange/ValueSet/dental-procedure-codes-vs|2.0.0-ballot' because the code system http://www.ada.org/cdt was not found"
            },
            "expression": [
              "Procedure/RestorationTooth14-example-dental-procedure: Procedure.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 62
              },
              {
                "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": "code-invalid",
            "details": {
              "text": "A definition for CodeSystem 'http://www.ada.org/cdt' could not be found, so the code cannot be validated; Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/dental-data-exchange/ValueSet/dental-procedure-codes-vs|2.0.0-ballot' because the code system http://www.ada.org/cdt was not found"
            },
            "expression": [
              "Procedure/RestorationTooth14-example-dental-procedure: Procedure.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Procedure-RestorationTooth15-example-dental-procedure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-RestorationTooth15-example-dental-procedure",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXTP_Context_Wrong"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/bodySite is not allowed to be used at this point (allowed = e:Condition.bodySite, e:Observation.bodySite, e:Procedure.bodySite, e:MedicationAdministration.dose, e:Dosage.site; this element is [Procedure])"
            },
            "expression": [
              "Procedure/RestorationTooth15-example-dental-procedure: Procedure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 62
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://www.ada.org/cdt' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Procedure/RestorationTooth15-example-dental-procedure: Procedure.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 62
              },
              {
                "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": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/dental-data-exchange/ValueSet/dental-procedure-codes-vs|2.0.0-ballot' because the code system http://www.ada.org/cdt was not found"
            },
            "expression": [
              "Procedure/RestorationTooth15-example-dental-procedure: Procedure.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 62
              },
              {
                "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": "code-invalid",
            "details": {
              "text": "A definition for CodeSystem 'http://www.ada.org/cdt' could not be found, so the code cannot be validated; Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/dental-data-exchange/ValueSet/dental-procedure-codes-vs|2.0.0-ballot' because the code system http://www.ada.org/cdt was not found"
            },
            "expression": [
              "Procedure/RestorationTooth15-example-dental-procedure: Procedure.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Procedure-RestorationTooth2-example-dental-procedure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-RestorationTooth2-example-dental-procedure",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXTP_Context_Wrong"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/bodySite is not allowed to be used at this point (allowed = e:Condition.bodySite, e:Observation.bodySite, e:Procedure.bodySite, e:MedicationAdministration.dose, e:Dosage.site; this element is [Procedure])"
            },
            "expression": [
              "Procedure/RestorationTooth2-example-dental-procedure: Procedure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 62
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://www.ada.org/cdt' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Procedure/RestorationTooth2-example-dental-procedure: Procedure.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 62
              },
              {
                "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": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/dental-data-exchange/ValueSet/dental-procedure-codes-vs|2.0.0-ballot' because the code system http://www.ada.org/cdt was not found"
            },
            "expression": [
              "Procedure/RestorationTooth2-example-dental-procedure: Procedure.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 62
              },
              {
                "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": "code-invalid",
            "details": {
              "text": "A definition for CodeSystem 'http://www.ada.org/cdt' could not be found, so the code cannot be validated; Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/dental-data-exchange/ValueSet/dental-procedure-codes-vs|2.0.0-ballot' because the code system http://www.ada.org/cdt was not found"
            },
            "expression": [
              "Procedure/RestorationTooth2-example-dental-procedure: Procedure.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Procedure-RestorationTooth3-example-dental-procedure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-RestorationTooth3-example-dental-procedure",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXTP_Context_Wrong"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/bodySite is not allowed to be used at this point (allowed = e:Condition.bodySite, e:Observation.bodySite, e:Procedure.bodySite, e:MedicationAdministration.dose, e:Dosage.site; this element is [Procedure])"
            },
            "expression": [
              "Procedure/RestorationTooth3-example-dental-procedure: Procedure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 62
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://www.ada.org/cdt' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Procedure/RestorationTooth3-example-dental-procedure: Procedure.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 62
              },
              {
                "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": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/dental-data-exchange/ValueSet/dental-procedure-codes-vs|2.0.0-ballot' because the code system http://www.ada.org/cdt was not found"
            },
            "expression": [
              "Procedure/RestorationTooth3-example-dental-procedure: Procedure.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 62
              },
              {
                "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": "code-invalid",
            "details": {
              "text": "A definition for CodeSystem 'http://www.ada.org/cdt' could not be found, so the code cannot be validated; Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/dental-data-exchange/ValueSet/dental-procedure-codes-vs|2.0.0-ballot' because the code system http://www.ada.org/cdt was not found"
            },
            "expression": [
              "Procedure/RestorationTooth3-example-dental-procedure: Procedure.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Procedure-RestorationTooth4-example-dental-procedure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-RestorationTooth4-example-dental-procedure",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXTP_Context_Wrong"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/bodySite is not allowed to be used at this point (allowed = e:Condition.bodySite, e:Observation.bodySite, e:Procedure.bodySite, e:MedicationAdministration.dose, e:Dosage.site; this element is [Procedure])"
            },
            "expression": [
              "Procedure/RestorationTooth4-example-dental-procedure: Procedure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 62
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://www.ada.org/cdt' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Procedure/RestorationTooth4-example-dental-procedure: Procedure.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 62
              },
              {
                "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": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/dental-data-exchange/ValueSet/dental-procedure-codes-vs|2.0.0-ballot' because the code system http://www.ada.org/cdt was not found"
            },
            "expression": [
              "Procedure/RestorationTooth4-example-dental-procedure: Procedure.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 62
              },
              {
                "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": "code-invalid",
            "details": {
              "text": "A definition for CodeSystem 'http://www.ada.org/cdt' could not be found, so the code cannot be validated; Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/dental-data-exchange/ValueSet/dental-procedure-codes-vs|2.0.0-ballot' because the code system http://www.ada.org/cdt was not found"
            },
            "expression": [
              "Procedure/RestorationTooth4-example-dental-procedure: Procedure.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Procedure-RestorationTooth5-example-dental-procedure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-RestorationTooth5-example-dental-procedure",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXTP_Context_Wrong"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/bodySite is not allowed to be used at this point (allowed = e:Condition.bodySite, e:Observation.bodySite, e:Procedure.bodySite, e:MedicationAdministration.dose, e:Dosage.site; this element is [Procedure])"
            },
            "expression": [
              "Procedure/RestorationTooth5-example-dental-procedure: Procedure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 62
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://www.ada.org/cdt' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Procedure/RestorationTooth5-example-dental-procedure: Procedure.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 62
              },
              {
                "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": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/dental-data-exchange/ValueSet/dental-procedure-codes-vs|2.0.0-ballot' because the code system http://www.ada.org/cdt was not found"
            },
            "expression": [
              "Procedure/RestorationTooth5-example-dental-procedure: Procedure.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 62
              },
              {
                "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": "code-invalid",
            "details": {
              "text": "A definition for CodeSystem 'http://www.ada.org/cdt' could not be found, so the code cannot be validated; Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/dental-data-exchange/ValueSet/dental-procedure-codes-vs|2.0.0-ballot' because the code system http://www.ada.org/cdt was not found"
            },
            "expression": [
              "Procedure/RestorationTooth5-example-dental-procedure: Procedure.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Procedure-RestorationTooth6-example-dental-procedure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-RestorationTooth6-example-dental-procedure",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 30
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong whitespace in Display Name '\tPermanent maxillary right canine tooth' for http://terminology.hl7.org/CodeSystem/ADAUniversalToothDesignationSystem#6. Valid display is 'Permanent maxillary right canine tooth' (for the language(s) 'en-US')"
            },
            "expression": [
              "Procedure/RestorationTooth6-example-dental-procedure: Procedure.contained[0]/*BodyStructure/bs6buccal*/.location.coding[1].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 40
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 66
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_String_WS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "value should not start or finish with whitespace '\\tPermanent maxillary right canine tooth'"
            },
            "expression": [
              "Procedure/RestorationTooth6-example-dental-procedure: Procedure.contained[0]/*BodyStructure/bs6buccal*/.location.coding[1].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXTP_Context_Wrong"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/bodySite is not allowed to be used at this point (allowed = e:Condition.bodySite, e:Observation.bodySite, e:Procedure.bodySite, e:MedicationAdministration.dose, e:Dosage.site; this element is [Procedure])"
            },
            "expression": [
              "Procedure/RestorationTooth6-example-dental-procedure: Procedure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 62
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://www.ada.org/cdt' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Procedure/RestorationTooth6-example-dental-procedure: Procedure.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 62
              },
              {
                "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": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/dental-data-exchange/ValueSet/dental-procedure-codes-vs|2.0.0-ballot' because the code system http://www.ada.org/cdt was not found"
            },
            "expression": [
              "Procedure/RestorationTooth6-example-dental-procedure: Procedure.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 62
              },
              {
                "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": "code-invalid",
            "details": {
              "text": "A definition for CodeSystem 'http://www.ada.org/cdt' could not be found, so the code cannot be validated; Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/dental-data-exchange/ValueSet/dental-procedure-codes-vs|2.0.0-ballot' because the code system http://www.ada.org/cdt was not found"
            },
            "expression": [
              "Procedure/RestorationTooth6-example-dental-procedure: Procedure.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Procedure-RestorationTooth7-example-dental-procedure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-RestorationTooth7-example-dental-procedure",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXTP_Context_Wrong"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/bodySite is not allowed to be used at this point (allowed = e:Condition.bodySite, e:Observation.bodySite, e:Procedure.bodySite, e:MedicationAdministration.dose, e:Dosage.site; this element is [Procedure])"
            },
            "expression": [
              "Procedure/RestorationTooth7-example-dental-procedure: Procedure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 62
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://www.ada.org/cdt' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Procedure/RestorationTooth7-example-dental-procedure: Procedure.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 62
              },
              {
                "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": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/dental-data-exchange/ValueSet/dental-procedure-codes-vs|2.0.0-ballot' because the code system http://www.ada.org/cdt was not found"
            },
            "expression": [
              "Procedure/RestorationTooth7-example-dental-procedure: Procedure.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 62
              },
              {
                "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": "code-invalid",
            "details": {
              "text": "A definition for CodeSystem 'http://www.ada.org/cdt' could not be found, so the code cannot be validated; Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/dental-data-exchange/ValueSet/dental-procedure-codes-vs|2.0.0-ballot' because the code system http://www.ada.org/cdt was not found"
            },
            "expression": [
              "Procedure/RestorationTooth7-example-dental-procedure: Procedure.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Procedure-RestorationTooth8-example-dental-procedure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-RestorationTooth8-example-dental-procedure",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXTP_Context_Wrong"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/bodySite is not allowed to be used at this point (allowed = e:Condition.bodySite, e:Observation.bodySite, e:Procedure.bodySite, e:MedicationAdministration.dose, e:Dosage.site; this element is [Procedure])"
            },
            "expression": [
              "Procedure/RestorationTooth8-example-dental-procedure: Procedure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 71
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://www.ada.org/cdt' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Procedure/RestorationTooth8-example-dental-procedure: Procedure.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 71
              },
              {
                "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": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/dental-data-exchange/ValueSet/dental-procedure-codes-vs|2.0.0-ballot' because the code system http://www.ada.org/cdt was not found"
            },
            "expression": [
              "Procedure/RestorationTooth8-example-dental-procedure: Procedure.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 71
              },
              {
                "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": "code-invalid",
            "details": {
              "text": "A definition for CodeSystem 'http://www.ada.org/cdt' could not be found, so the code cannot be validated; Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/dental-data-exchange/ValueSet/dental-procedure-codes-vs|2.0.0-ballot' because the code system http://www.ada.org/cdt was not found"
            },
            "expression": [
              "Procedure/RestorationTooth8-example-dental-procedure: Procedure.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Procedure-RestorationTooth9-example-dental-procedure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-RestorationTooth9-example-dental-procedure",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXTP_Context_Wrong"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/bodySite is not allowed to be used at this point (allowed = e:Condition.bodySite, e:Observation.bodySite, e:Procedure.bodySite, e:MedicationAdministration.dose, e:Dosage.site; this element is [Procedure])"
            },
            "expression": [
              "Procedure/RestorationTooth9-example-dental-procedure: Procedure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 62
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://www.ada.org/cdt' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Procedure/RestorationTooth9-example-dental-procedure: Procedure.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 62
              },
              {
                "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": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/dental-data-exchange/ValueSet/dental-procedure-codes-vs|2.0.0-ballot' because the code system http://www.ada.org/cdt was not found"
            },
            "expression": [
              "Procedure/RestorationTooth9-example-dental-procedure: Procedure.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 62
              },
              {
                "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": "code-invalid",
            "details": {
              "text": "A definition for CodeSystem 'http://www.ada.org/cdt' could not be found, so the code cannot be validated; Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/dental-data-exchange/ValueSet/dental-procedure-codes-vs|2.0.0-ballot' because the code system http://www.ada.org/cdt was not found"
            },
            "expression": [
              "Procedure/RestorationTooth9-example-dental-procedure: Procedure.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Procedure-RootCanalTooth8-example-dental-procedure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-RootCanalTooth8-example-dental-procedure",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 19
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://www.ada.org/cdt' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Procedure/RootCanalTooth8-example-dental-procedure: Procedure.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 19
              },
              {
                "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": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/dental-data-exchange/ValueSet/dental-procedure-codes-vs|2.0.0-ballot' because the code system http://www.ada.org/cdt was not found"
            },
            "expression": [
              "Procedure/RootCanalTooth8-example-dental-procedure: Procedure.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 19
              },
              {
                "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": "code-invalid",
            "details": {
              "text": "A definition for CodeSystem 'http://www.ada.org/cdt' could not be found, so the code cannot be validated; Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/dental-data-exchange/ValueSet/dental-procedure-codes-vs|2.0.0-ballot' because the code system http://www.ada.org/cdt was not found"
            },
            "expression": [
              "Procedure/RootCanalTooth8-example-dental-procedure: Procedure.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Procedure-buccal-restoration-example-dental-procedure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-buccal-restoration-example-dental-procedure",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Extension_EXTP_Context_Wrong"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "The extension http://hl7.org/fhir/StructureDefinition/bodySite is not allowed to be used at this point (allowed = e:Condition.bodySite, e:Observation.bodySite, e:Procedure.bodySite, e:MedicationAdministration.dose, e:Dosage.site; this element is [Procedure])"
            },
            "expression": [
              "Procedure/buccal-restoration-example-dental-procedure: Procedure"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 62
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://www.ada.org/cdt' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Procedure/buccal-restoration-example-dental-procedure: Procedure.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 62
              },
              {
                "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": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/dental-data-exchange/ValueSet/dental-procedure-codes-vs|2.0.0-ballot' because the code system http://www.ada.org/cdt was not found"
            },
            "expression": [
              "Procedure/buccal-restoration-example-dental-procedure: Procedure.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 62
              },
              {
                "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": "code-invalid",
            "details": {
              "text": "A definition for CodeSystem 'http://www.ada.org/cdt' could not be found, so the code cannot be validated; Unable to check whether the code is in the value set 'http://hl7.org/fhir/us/dental-data-exchange/ValueSet/dental-procedure-codes-vs|2.0.0-ballot' because the code system http://www.ada.org/cdt was not found"
            },
            "expression": [
              "Procedure/buccal-restoration-example-dental-procedure: Procedure.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/StructureDefinition-dental-condition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-dental-condition",
        "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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#oPwHtcP2s5XfAmAj' does not resolve"
            },
            "expression": [
              "StructureDefinition/dental-condition: 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": 42327
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.2.0', found versions: 1.0.0, 4.0.1, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate' to 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate|5.2.0'"
            },
            "expression": [
              "StructureDefinition/dental-condition: StructureDefinition.snapshot.element[8].type[0].profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 43465
              },
              {
                "url": "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/bodySite'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.2.0', found versions: 1.0.0, 4.0.1, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/bodySite' to 'http://hl7.org/fhir/StructureDefinition/bodySite|5.2.0'"
            },
            "expression": [
              "StructureDefinition/dental-condition: StructureDefinition.snapshot.element[9].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": 89271
              },
              {
                "url": "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/bodySite'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.2.0', found versions: 1.0.0, 4.0.1, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/bodySite' to 'http://hl7.org/fhir/StructureDefinition/bodySite|5.2.0'"
            },
            "expression": [
              "StructureDefinition/dental-condition: StructureDefinition.differential.element[1].type[0].profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 89785
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_WG_NEEDED"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "When HL7 is publishing a resource, the owning committee must be stated using the http://hl7.org/fhir/StructureDefinition/structuredefinition-wg extension"
            },
            "expression": [
              "StructureDefinition/dental-condition: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_VALUE_COMPLEX_FIXED"
              }
            ],
            "severity": "warning",
            "code": "exception",
            "details": {
              "text": "For the complex type CodeableConcept, consider using a pattern rather than a fixed value to avoid over-constraining the instance"
            },
            "expression": [
              "StructureDefinition/dental-condition: StructureDefinition.snapshot.element[17].fixed.ofType(CodeableConcept)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/StructureDefinition-dental-procedure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-dental-procedure",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 36209
              },
              {
                "url": "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/bodySite'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.2.0', found versions: 1.0.0, 4.0.1, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/bodySite' to 'http://hl7.org/fhir/StructureDefinition/bodySite|5.2.0'"
            },
            "expression": [
              "StructureDefinition/dental-procedure: 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": 88445
              },
              {
                "url": "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/bodySite'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.2.0', found versions: 1.0.0, 4.0.1, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/bodySite' to 'http://hl7.org/fhir/StructureDefinition/bodySite|5.2.0'"
            },
            "expression": [
              "StructureDefinition/dental-procedure: StructureDefinition.differential.element[2].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": 88914
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_WG_NEEDED"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "When HL7 is publishing a resource, the owning committee must be stated using the http://hl7.org/fhir/StructureDefinition/structuredefinition-wg extension"
            },
            "expression": [
              "StructureDefinition/dental-procedure: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_VALUE_COMPLEX_FIXED"
              }
            ],
            "severity": "warning",
            "code": "exception",
            "details": {
              "text": "For the complex type CodeableConcept, consider using a pattern rather than a fixed value to avoid over-constraining the instance"
            },
            "expression": [
              "StructureDefinition/dental-procedure: StructureDefinition.snapshot.element[17].fixed.ofType(CodeableConcept)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/ValueSet-dental-procedure-codes-vs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-dental-procedure-codes-vs",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1273
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_WG_NEEDED"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "When HL7 is publishing a resource, the owning committee must be stated using the http://hl7.org/fhir/StructureDefinition/structuredefinition-wg extension"
            },
            "expression": [
              "ValueSet/dental-procedure-codes-vs: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "exception",
            "details": {
              "text": "Error from http://tx.fhir.org/r4: Unable to provide support for code system http://www.ada.org/cdt"
            },
            "expression": [
              "ValueSet.where(id = 'dental-procedure-codes-vs')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/StructureDefinition-dental-servicerequest",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-dental-servicerequest",
        "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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#hYYT2Gsz16AnsB9D' does not resolve"
            },
            "expression": [
              "StructureDefinition/dental-servicerequest: 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": 70037
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.0.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType' to 'http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType|3.0.0'"
            },
            "expression": [
              "StructureDefinition/dental-servicerequest: StructureDefinition.snapshot.element[31].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 74906
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage' does not resolve"
            },
            "expression": [
              "StructureDefinition/dental-servicerequest: StructureDefinition.snapshot.element[35].type[0].targetProfile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 83733
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage' does not resolve"
            },
            "expression": [
              "StructureDefinition/dental-servicerequest: StructureDefinition.differential.element[8].type[0].targetProfile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 83856
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_WG_NEEDED"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "When HL7 is publishing a resource, the owning committee must be stated using the http://hl7.org/fhir/StructureDefinition/structuredefinition-wg extension"
            },
            "expression": [
              "StructureDefinition/dental-servicerequest: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_TYPE_PROFILE_UNKNOWN"
              }
            ],
            "severity": "warning",
            "code": "exception",
            "details": {
              "text": "Unable to resolve profile http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage"
            },
            "expression": [
              "StructureDefinition/dental-servicerequest: StructureDefinition.differential.element[8].type[0].targetProfile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_ED_TYPE_PROFILE_UNKNOWN"
              }
            ],
            "severity": "warning",
            "code": "exception",
            "details": {
              "text": "Unable to resolve profile http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage"
            },
            "expression": [
              "StructureDefinition/dental-servicerequest: StructureDefinition.snapshot.element[35].type[0].targetProfile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/us/dental-data-exchange/StructureDefinition/dental-servicerequest vs http://hl7.org/fhir/us/dental-data-exchange/dental-servicerequest"
            },
            "expression": [
              "/scratch/repo/input/resources/structuredefinition/dental-servicerequest"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/StructureDefinition-dental-findings",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-dental-findings",
        "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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#3gIafL4PyHr9dDIB' does not resolve"
            },
            "expression": [
              "StructureDefinition/dental-findings: 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": 118587
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_WG_NEEDED"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "When HL7 is publishing a resource, the owning committee must be stated using the http://hl7.org/fhir/StructureDefinition/structuredefinition-wg extension"
            },
            "expression": [
              "StructureDefinition/dental-findings: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_VALUE_COMPLEX_FIXED"
              }
            ],
            "severity": "warning",
            "code": "exception",
            "details": {
              "text": "For the complex type CodeableConcept, consider using a pattern rather than a fixed value to avoid over-constraining the instance"
            },
            "expression": [
              "StructureDefinition/dental-findings: StructureDefinition.snapshot.element[14].fixed.ofType(CodeableConcept)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/StructureDefinition-dental-communication",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-dental-communication",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 166
              },
              {
                "url": "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": "URL value '#TGzHf0uupKuQEEGZ' does not resolve"
            },
            "expression": [
              "StructureDefinition/dental-communication: 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": 46846
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v3-ParticipationMode'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.0.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v3-ParticipationMode' to 'http://terminology.hl7.org/ValueSet/v3-ParticipationMode|3.0.0'"
            },
            "expression": [
              "StructureDefinition/dental-communication: StructureDefinition.snapshot.element[19].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 64389
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_WG_NEEDED"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "When HL7 is publishing a resource, the owning committee must be stated using the http://hl7.org/fhir/StructureDefinition/structuredefinition-wg extension"
            },
            "expression": [
              "StructureDefinition/dental-communication: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/ValueSet-dental-reason-for-referral",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-dental-reason-for-referral",
        "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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#MmL7qsaf7XO0rR5c' does not resolve"
            },
            "expression": [
              "ValueSet/dental-reason-for-referral: ValueSet.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_WG_NEEDED"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "When HL7 is publishing a resource, the owning committee must be stated using the http://hl7.org/fhir/StructureDefinition/structuredefinition-wg extension"
            },
            "expression": [
              "ValueSet/dental-reason-for-referral: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12665
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Value sets published by HL7 SHALL conform to the ShareableValueSet profile, which says that the element ValueSet.experimental is mandatory, but it is not present"
            },
            "expression": [
              "ValueSet/dental-reason-for-referral: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/ValueSet-dental-observation-codes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-dental-observation-codes",
        "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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#GI96BYVho5ZAxTFf' does not resolve"
            },
            "expression": [
              "ValueSet/dental-observation-codes: ValueSet.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_WG_NEEDED"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "When HL7 is publishing a resource, the owning committee must be stated using the http://hl7.org/fhir/StructureDefinition/structuredefinition-wg extension"
            },
            "expression": [
              "ValueSet/dental-observation-codes: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Value sets published by HL7 SHALL conform to the ShareableValueSet profile, which says that the element ValueSet.experimental is mandatory, but it is not present"
            },
            "expression": [
              "ValueSet/dental-observation-codes: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "error",
            "code": "exception",
            "details": {
              "text": "Error from http://tx.fhir.org/r4: Unable to locate code '165877D'"
            },
            "expression": [
              "ValueSet.where(id = 'dental-observation-codes')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/ValueSet-dental-anatomy",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-dental-anatomy",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 148
              },
              {
                "url": "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": "URL value '#z0dW766L5vlQa24C' does not resolve"
            },
            "expression": [
              "ValueSet/dental-anatomy: ValueSet.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1867
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_WG_NEEDED"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "When HL7 is publishing a resource, the owning committee must be stated using the http://hl7.org/fhir/StructureDefinition/structuredefinition-wg extension"
            },
            "expression": [
              "ValueSet/dental-anatomy: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1864
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "informational",
            "details": {
              "text": "This value set has a single include with multiple imported value sets. Per issue https://jira.hl7.org/browse/FHIR-25179, there has been confusion in the past whether these value sets are unioned or intersectioned. If this value set is contained in a package published prior to March 31 2022, it will be treated as a union, otherwise it will be treated as an intersection. If want a union, split the value set imports across multiple includes"
            },
            "expression": [
              "ValueSet/dental-anatomy: ValueSet.compose.include[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1867
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Value sets published by HL7 SHALL conform to the ShareableValueSet profile, which says that the element ValueSet.experimental is mandatory, but it is not present"
            },
            "expression": [
              "ValueSet/dental-anatomy: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/ValueSet-oral-cavity-area",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-oral-cavity-area",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 151
              },
              {
                "url": "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": "URL value '#SJCROkosrUUWfDjg' does not resolve"
            },
            "expression": [
              "ValueSet/oral-cavity-area: ValueSet.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4249
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_WG_NEEDED"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "When HL7 is publishing a resource, the owning committee must be stated using the http://hl7.org/fhir/StructureDefinition/structuredefinition-wg extension"
            },
            "expression": [
              "ValueSet/oral-cavity-area: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4249
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Value sets published by HL7 SHALL conform to the ShareableValueSet profile, which says that the element ValueSet.experimental is mandatory, but it is not present"
            },
            "expression": [
              "ValueSet/oral-cavity-area: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/ValueSet-tooth-identification-valueset",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-tooth-identification-valueset",
        "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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#8ipPoDFfN9JRT5Cs' does not resolve"
            },
            "expression": [
              "ValueSet/tooth-identification-valueset: ValueSet.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 51110
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_String_WS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "value should not start or finish with whitespace 'Supernumerary deciduous mandibular left second molar tooth\\u00a0'"
            },
            "expression": [
              "ValueSet/tooth-identification-valueset: ValueSet.compose.include[0].concept[56].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 51220
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_Code_WS"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "The code '177450D ' is not valid (whitespace rules)"
            },
            "expression": [
              "ValueSet/tooth-identification-valueset: ValueSet.compose.include[0].concept[58].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 52216
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_Code_WS"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "The code '177360D ' is not valid (whitespace rules)"
            },
            "expression": [
              "ValueSet/tooth-identification-valueset: ValueSet.compose.include[0].concept[69].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 52404
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_Code_WS"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "The code '177665D ' is not valid (whitespace rules)"
            },
            "expression": [
              "ValueSet/tooth-identification-valueset: ValueSet.compose.include[0].concept[71].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 53954
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_Code_WS"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "The code '177356D ' is not valid (whitespace rules)"
            },
            "expression": [
              "ValueSet/tooth-identification-valueset: ValueSet.compose.include[0].concept[88].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 54223
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_Code_WS"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "The code '177445D ' is not valid (whitespace rules)"
            },
            "expression": [
              "ValueSet/tooth-identification-valueset: ValueSet.compose.include[0].concept[91].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 54320
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_Code_WS"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "The code '177683D ' is not valid (whitespace rules)"
            },
            "expression": [
              "ValueSet/tooth-identification-valueset: ValueSet.compose.include[0].concept[92].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 54507
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_Code_WS"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "The code '177325D ' is not valid (whitespace rules)"
            },
            "expression": [
              "ValueSet/tooth-identification-valueset: ValueSet.compose.include[0].concept[94].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 55327
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_Code_WS"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "The code '177394D ' is not valid (whitespace rules)"
            },
            "expression": [
              "ValueSet/tooth-identification-valueset: ValueSet.compose.include[0].concept[103].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 60128
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_String_WS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "value should not start or finish with whitespace 'Supernumerary deciduous mandibular left second molar tooth\\u00a0'"
            },
            "expression": [
              "ValueSet/tooth-identification-valueset: ValueSet.compose.include[1].concept[56].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 64558
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_WG_NEEDED"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "When HL7 is publishing a resource, the owning committee must be stated using the http://hl7.org/fhir/StructureDefinition/structuredefinition-wg extension"
            },
            "expression": [
              "ValueSet/tooth-identification-valueset: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 64558
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Value sets published by HL7 SHALL conform to the ShareableValueSet profile, which says that the element ValueSet.experimental is mandatory, but it is not present"
            },
            "expression": [
              "ValueSet/tooth-identification-valueset: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/CodeSystem-dental-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-dental-category",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 151
              },
              {
                "url": "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": "URL value '#xguGj9dRLL3l5tVC' does not resolve"
            },
            "expression": [
              "CodeSystem/dental-category: CodeSystem.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1832
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_WG_NEEDED"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "When HL7 is publishing a resource, the owning committee must be stated using the http://hl7.org/fhir/StructureDefinition/structuredefinition-wg extension"
            },
            "expression": [
              "CodeSystem/dental-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/dental-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1832
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.experimental is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/dental-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1832
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.description is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/dental-category: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1832
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/dental-category: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Encounter-Med-visit-1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Encounter-Med-visit-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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#p3hglobolmahKXf8' does not resolve"
            },
            "expression": [
              "Encounter/Med-visit-1: Encounter.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 17
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code '99201' in the CodeSystem 'http://www.ama-assn.org/go/cpt' version '2023'"
            },
            "expression": [
              "Encounter/Med-visit-1: Encounter.type[0].coding[0].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Encounter-Dental-encounter",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Encounter-Dental-encounter",
        "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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#Y2kcv0DWSGwV4oRQ' does not resolve"
            },
            "expression": [
              "Encounter/Dental-encounter: Encounter.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Encounter-Comp-oral-eval",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Encounter-Comp-oral-eval",
        "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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#1vKsReNQ6kEiNemP' does not resolve"
            },
            "expression": [
              "Encounter/Comp-oral-eval: Encounter.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 17
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://ada.org/cdt' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Encounter/Comp-oral-eval: Encounter.type[0].coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 19
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 49
              },
              {
                "url": "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": "URL value 'http://ada.org/cdt' does not resolve"
            },
            "expression": [
              "Encounter/Comp-oral-eval: Encounter.type[0].coding[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/ServiceRequest-example-dental-referral-1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ServiceRequest-example-dental-referral-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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#SNBbxDLfpSgMOlLL' does not resolve"
            },
            "expression": [
              "ServiceRequest/example-dental-referral-1: ServiceRequest.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Coverage-Dental-Aetna",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Coverage-Dental-Aetna",
        "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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#wVOzmfnx1oKPJar2' does not resolve"
            },
            "expression": [
              "Coverage/Dental-Aetna: Coverage.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 9
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 97
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage' does not resolve"
            },
            "expression": [
              "Coverage/Dental-Aetna: Coverage.meta.profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 12
              },
              {
                "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": "URL value 'http://benefitsAetna.com/certificate' does not resolve"
            },
            "expression": [
              "Coverage/Dental-Aetna: Coverage.identifier[0].system"
            ]
          },
          {
            "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": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage' has not been checked because it could not be found, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Coverage/Dental-Aetna: Coverage.meta.profile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Encounter-Dentist-followup-prophylaxis",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Encounter-Dentist-followup-prophylaxis",
        "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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#fHT1OiEjNw8JeN7P' does not resolve"
            },
            "expression": [
              "Encounter/Dentist-followup-prophylaxis: Encounter.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 17
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11
              },
              {
                "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 '209670D' in the CodeSystem 'http://www.ada.org/snodent' version '2.1.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Encounter/Dentist-followup-prophylaxis: Encounter.type[0].coding[0].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/AllergyIntolerance-Allergy-example-dental",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "AllergyIntolerance-Allergy-example-dental",
        "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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#E8CdDQ0mBY5KkSU9' does not resolve"
            },
            "expression": [
              "AllergyIntolerance/Allergy-example-dental: AllergyIntolerance.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Medication-ibuprofen-med-example-2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Medication-ibuprofen-med-example-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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#yc3rDlQN67DavTtV' does not resolve"
            },
            "expression": [
              "Medication/ibuprofen-med-example-2: Medication.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/MedicationRequest-Ibuprofen-medreq-2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationRequest-Ibuprofen-medreq-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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#nsfdXhFa9WJvBHdj' does not resolve"
            },
            "expression": [
              "MedicationRequest/Ibuprofen-medreq-2: MedicationRequest.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Medication-erythromycin-med-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Medication-erythromycin-med-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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#wBV0i9Iv1g0Kdoxf' does not resolve"
            },
            "expression": [
              "Medication/erythromycin-med-example: Medication.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/MedicationRequest-erythromycin-medreq-2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationRequest-erythromycin-medreq-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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#sRqmcVChZmoyJzL0' does not resolve"
            },
            "expression": [
              "MedicationRequest/erythromycin-medreq-2: MedicationRequest.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/MedicationRequest-Tylenol-med-dental",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationRequest-Tylenol-med-dental",
        "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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#KW2tWgQtZYTURdmX' does not resolve"
            },
            "expression": [
              "MedicationRequest/Tylenol-med-dental: MedicationRequest.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Medication-Lisinopril-med-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Medication-Lisinopril-med-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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#6xV4ZRPx9bRZU3DT' does not resolve"
            },
            "expression": [
              "Medication/Lisinopril-med-example: Medication.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/MedicationRequest-Lisinopril-medreq",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationRequest-Lisinopril-medreq",
        "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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#bztlt43F4rcoHhww' does not resolve"
            },
            "expression": [
              "MedicationRequest/Lisinopril-medreq: MedicationRequest.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Patient-example-dental",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Patient-example-dental",
        "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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#nRym4nap90mqpxVr' does not resolve"
            },
            "expression": [
              "Patient/example-dental: Patient.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 54
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 26
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_Confirm_4a"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "The code provided (urn:oid:2.16.840.1.113883.6.238#1516-4) was not found in the value set 'Detailed Race' (http://hl7.org/fhir/us/core/ValueSet/detailed-race|6.1.0), and a code from this value set is required: The provided code 'urn:oid:2.16.840.1.113883.6.238#1516-4 ('Zuni')' was not found in the value set 'http://hl7.org/fhir/us/core/ValueSet/detailed-race|6.1.0'"
            },
            "expression": [
              "Patient/example-dental: Patient.extension[0].extension[1].value.ofType(Coding)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 89
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 55
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "URL value 'http://clinic.goodhealth.org' does not resolve"
            },
            "expression": [
              "Patient/example-dental: Patient.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Practitioner-practitioner-D",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Practitioner-practitioner-D",
        "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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#jvbTK8x0CL9mqWkF' does not resolve"
            },
            "expression": [
              "Practitioner/practitioner-D: Practitioner.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner#us-core-17"
              }
            ],
            "severity": "error",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: us-core-17: 'NPI check digit must be valid (Luhn algorithm check)'"
            },
            "expression": [
              "Practitioner/practitioner-D: Practitioner.identifier[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/PractitionerRole-PractitionerRole-M",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "PractitionerRole-PractitionerRole-M",
        "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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#2SJyfJgnNKtdbk05' does not resolve"
            },
            "expression": [
              "PractitionerRole/PractitionerRole-M: PractitionerRole.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/PractitionerRole-PractitionerRole-D",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "PractitionerRole-PractitionerRole-D",
        "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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#AUoOY809OaLUpiaR' does not resolve"
            },
            "expression": [
              "PractitionerRole/PractitionerRole-D: PractitionerRole.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Practitioner-practitioner-M",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Practitioner-practitioner-M",
        "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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#k1LJ1eeJtFP0qFhP' does not resolve"
            },
            "expression": [
              "Practitioner/practitioner-M: Practitioner.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner#us-core-17"
              }
            ],
            "severity": "error",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: us-core-17: 'NPI check digit must be valid (Luhn algorithm check)'"
            },
            "expression": [
              "Practitioner/practitioner-M: Practitioner.identifier[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Procedure-Dental-flouride-tx-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-Dental-flouride-tx-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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#cHMLs3g5945SkCHA' does not resolve"
            },
            "expression": [
              "Procedure/Dental-flouride-tx-example: Procedure.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://ada.org/cdt' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Procedure/Dental-flouride-tx-example: Procedure.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 18
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 49
              },
              {
                "url": "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": "URL value 'http://ada.org/cdt' does not resolve"
            },
            "expression": [
              "Procedure/Dental-flouride-tx-example: Procedure.code.coding[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Procedure-Dental-incisor-restoration-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-Dental-incisor-restoration-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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#lPM7pEsvMekElqYD' does not resolve"
            },
            "expression": [
              "Procedure/Dental-incisor-restoration-example: Procedure.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://ada.org/cdt' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Procedure/Dental-incisor-restoration-example: Procedure.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 18
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 49
              },
              {
                "url": "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": "URL value 'http://ada.org/cdt' does not resolve"
            },
            "expression": [
              "Procedure/Dental-incisor-restoration-example: Procedure.code.coding[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Organization-GHC-organization",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Organization-GHC-organization",
        "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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#7DpAiFqmrBGDwwju' does not resolve"
            },
            "expression": [
              "Organization/GHC-organization: Organization.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Organization-GOHC-organization",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Organization-GOHC-organization",
        "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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#MeKA4odpFugzZZ7T' does not resolve"
            },
            "expression": [
              "Organization/GOHC-organization: Organization.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization#us-core-17"
              }
            ],
            "severity": "error",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: us-core-17: 'NPI check digit must be valid (Luhn algorithm check)'"
            },
            "expression": [
              "Organization/GOHC-organization: Organization.identifier[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Condition-Dental-caries-example-us-core-condition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-Dental-caries-example-us-core-condition",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 93
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition' does not resolve"
            },
            "expression": [
              "Condition/Dental-caries-example-us-core-condition: Condition.meta.profile[0]"
            ]
          },
          {
            "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": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition' has not been checked because it could not be found, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Condition/Dental-caries-example-us-core-condition: Condition.meta.profile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Condition-Dental-caries",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-Dental-caries",
        "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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#b6roTdi6dzyowBA4' does not resolve"
            },
            "expression": [
              "Condition/Dental-caries: Condition.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 42
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11
              },
              {
                "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 '118065D' in the CodeSystem 'http://www.ada.org/snodent' version '2.1.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Condition/Dental-caries: Condition.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 42
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The provided code 'http://www.ada.org/snodent#118065D ('Dental caries (disorder)')' was not found in the value set 'http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code|6.1.0'; Unknown Code '118065D' in the CodeSystem 'http://www.ada.org/snodent' version '2.1.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Condition/Dental-caries: Condition.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Organization-GEHC-organization",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Organization-GEHC-organization",
        "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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#Rt91H5PsWgzfxCgW' does not resolve"
            },
            "expression": [
              "Organization/GEHC-organization: Organization.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization#us-core-17"
              }
            ],
            "severity": "error",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: us-core-17: 'NPI check digit must be valid (Luhn algorithm check)'"
            },
            "expression": [
              "Organization/GEHC-organization: Organization.identifier[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Organization-Aetna-organization",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Organization-Aetna-organization",
        "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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#kXzRC4nyKWAMxj7m' does not resolve"
            },
            "expression": [
              "Organization/Aetna-organization: Organization.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization#us-core-17"
              }
            ],
            "severity": "error",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: us-core-17: 'NPI check digit must be valid (Luhn algorithm check)'"
            },
            "expression": [
              "Organization/Aetna-organization: Organization.identifier[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Condition-Maxillary-perm7-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-Maxillary-perm7-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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#mdIHzRjyJw5tGjal' does not resolve"
            },
            "expression": [
              "Condition/Maxillary-perm7-example: Condition.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 42
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11
              },
              {
                "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 '118065D' in the CodeSystem 'http://www.ada.org/snodent' version '2.1.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Condition/Maxillary-perm7-example: Condition.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 42
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The provided code 'http://www.ada.org/snodent#118065D ('Dental caries (disorder)')' was not found in the value set 'http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code|6.1.0'; Unknown Code '118065D' in the CodeSystem 'http://www.ada.org/snodent' version '2.1.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Condition/Maxillary-perm7-example: Condition.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Condition-Pulpitis-example-4",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-Pulpitis-example-4",
        "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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#dszHkr7PJmfibr7t' does not resolve"
            },
            "expression": [
              "Condition/Pulpitis-example-4: Condition.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 42
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11
              },
              {
                "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 '125784D' in the CodeSystem 'http://www.ada.org/snodent' version '2.1.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Condition/Pulpitis-example-4: Condition.code.coding[0].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Condition-Mandibular-perm18-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-Mandibular-perm18-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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#P2oY6t1qrQfdr1Gn' does not resolve"
            },
            "expression": [
              "Condition/Mandibular-perm18-example: Condition.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 42
              },
              {
                "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": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code '118666D' in the CodeSystem 'http://www.ada.org/snodent' version '2.1.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Condition/Mandibular-perm18-example: Condition.category[2].coding[1].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 55
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11
              },
              {
                "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 '118065D' in the CodeSystem 'http://www.ada.org/snodent' version '2.1.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Condition/Mandibular-perm18-example: Condition.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 55
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The provided code 'http://www.ada.org/snodent#118065D ('Dental caries (disorder)')' was not found in the value set 'http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code|6.1.0'; Unknown Code '118065D' in the CodeSystem 'http://www.ada.org/snodent' version '2.1.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Condition/Mandibular-perm18-example: Condition.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Condition-Dental-plaque-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-Dental-plaque-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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#X2hPir6JPI5pvG5b' does not resolve"
            },
            "expression": [
              "Condition/Dental-plaque-example: Condition.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 42
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11
              },
              {
                "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 '108723D' in the CodeSystem 'http://www.ada.org/snodent' version '2.1.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Condition/Dental-plaque-example: Condition.code.coding[1].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Condition-LLQP-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-LLQP-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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#hS7AIJdgvcfDTGz8' does not resolve"
            },
            "expression": [
              "Condition/LLQP-example: Condition.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Condition-Swollen-gums-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-Swollen-gums-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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#NgPzYTp2PrBQq4QQ' does not resolve"
            },
            "expression": [
              "Condition/Swollen-gums-example: Condition.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 42
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11
              },
              {
                "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 '148393D' in the CodeSystem 'http://www.ada.org/snodent' version '2.1.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Condition/Swollen-gums-example: Condition.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 42
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The provided code 'http://www.ada.org/snodent#148393D ('Swollen gums (finding)')' was not found in the value set 'http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code|6.1.0'; Unknown Code '148393D' in the CodeSystem 'http://www.ada.org/snodent' version '2.1.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Condition/Swollen-gums-example: Condition.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Condition-toothache-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-toothache-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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#7lHgTk3IB7w5WjlK' does not resolve"
            },
            "expression": [
              "Condition/toothache-example: Condition.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 42
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11
              },
              {
                "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 '131687D' in the CodeSystem 'http://www.ada.org/snodent' version '2.1.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Condition/toothache-example: Condition.code.coding[1].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 42
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The provided code 'http://www.ada.org/snodent#131687D ('Toothache (finding)')' was not found in the value set 'http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code|6.1.0'; Unknown Code '131687D' in the CodeSystem 'http://www.ada.org/snodent' version '2.1.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Condition/toothache-example: Condition.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Condition-Bleeding-gums-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-Bleeding-gums-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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#DRqxo8OW6TqLpYsF' does not resolve"
            },
            "expression": [
              "Condition/Bleeding-gums-example: Condition.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 42
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11
              },
              {
                "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 '148393D' in the CodeSystem 'http://www.ada.org/snodent' version '2.1.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Condition/Bleeding-gums-example: Condition.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 42
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The provided code 'http://www.ada.org/snodent#148393D ('Bleeding gums')' was not found in the value set 'http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code|6.1.0'; Unknown Code '148393D' in the CodeSystem 'http://www.ada.org/snodent' version '2.1.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Condition/Bleeding-gums-example: Condition.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Condition-Caries-risk",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-Caries-risk",
        "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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#ejECJjWzi1zuER0O' does not resolve"
            },
            "expression": [
              "Condition/Caries-risk: Condition.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 42
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11
              },
              {
                "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 '179051D' in the CodeSystem 'http://www.ada.org/snodent' version '2.1.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Condition/Caries-risk: Condition.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 42
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The provided code 'http://www.ada.org/snodent#179051D ('At high risk for dental caries (finding)')' was not found in the value set 'http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code|6.1.0'; Unknown Code '179051D' in the CodeSystem 'http://www.ada.org/snodent' version '2.1.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Condition/Caries-risk: Condition.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Condition-Tooth-infection18",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-Tooth-infection18",
        "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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#nJ1bK3etLE7y7AdU' does not resolve"
            },
            "expression": [
              "Condition/Tooth-infection18: Condition.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 42
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11
              },
              {
                "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 '181608D' in the CodeSystem 'http://www.ada.org/snodent' version '2.1.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Condition/Tooth-infection18: Condition.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 42
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The provided code 'http://www.ada.org/snodent#181608D ('Infection of tooth')' was not found in the value set 'http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code|6.1.0'; Unknown Code '181608D' in the CodeSystem 'http://www.ada.org/snodent' version '2.1.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Condition/Tooth-infection18: Condition.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Condition-Chronic-periodontitis-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-Chronic-periodontitis-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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#xcQRudeUf2EIuFTM' does not resolve"
            },
            "expression": [
              "Condition/Chronic-periodontitis-example: Condition.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 42
              },
              {
                "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": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code '118666D' in the CodeSystem 'http://www.ada.org/snodent' version '2.1.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Condition/Chronic-periodontitis-example: Condition.category[2].coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 50
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11
              },
              {
                "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 '116957D' in the CodeSystem 'http://www.ada.org/snodent' version '2.1.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Condition/Chronic-periodontitis-example: Condition.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 50
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The provided code 'http://www.ada.org/snodent#116957D ('Chronic periodontitis (disorder)')' was not found in the value set 'http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code|6.1.0'; Unknown Code '116957D' in the CodeSystem 'http://www.ada.org/snodent' version '2.1.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Condition/Chronic-periodontitis-example: Condition.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Condition-no-chew",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-no-chew",
        "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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#SfoX5xpbKisFrI3i' does not resolve"
            },
            "expression": [
              "Condition/no-chew: Condition.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 42
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11
              },
              {
                "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 '126488D' in the CodeSystem 'http://www.ada.org/snodent' version '2.1.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Condition/no-chew: Condition.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 42
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "The provided code 'http://www.ada.org/snodent#126488D ('Unable to chew (finding)')' was not found in the value set 'http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code|6.1.0'; Unknown Code '126488D' in the CodeSystem 'http://www.ada.org/snodent' version '2.1.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Condition/no-chew: Condition.code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Condition-HTN-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-HTN-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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#146BZQPP4buwqzpE' does not resolve"
            },
            "expression": [
              "Condition/HTN-example: Condition.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 9
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 93
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition' does not resolve"
            },
            "expression": [
              "Condition/HTN-example: Condition.meta.profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11
              },
              {
                "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 '175027D' in the CodeSystem 'http://www.ada.org/snodent' version '2.1.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Condition/HTN-example: Condition.code.coding[1].code"
            ]
          },
          {
            "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": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition' has not been checked because it could not be found, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Condition/HTN-example: Condition.meta.profile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Condition-DM1-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-DM1-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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#iZTQ3J8Fc8WNUltZ' does not resolve"
            },
            "expression": [
              "Condition/DM1-example: Condition.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 9
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 93
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition' does not resolve"
            },
            "expression": [
              "Condition/DM1-example: Condition.meta.profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 35
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11
              },
              {
                "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 '175321D' in the CodeSystem 'http://www.ada.org/snodent' version '2.1.0' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Condition/DM1-example: Condition.code.coding[1].code"
            ]
          },
          {
            "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": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition' has not been checked because it could not be found, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Condition/DM1-example: Condition.meta.profile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Immunization-imm-1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Immunization-imm-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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#wWskYUsopfP05ugN' does not resolve"
            },
            "expression": [
              "Immunization/imm-1: Immunization.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Communication-dental-education",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Communication-dental-education",
        "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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#FYwqy6PSKnGE7QuG' does not resolve"
            },
            "expression": [
              "Communication/dental-education: Communication.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Communication-dental-education2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Communication-dental-education2",
        "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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#GdB7kPWmcWXC0N81' does not resolve"
            },
            "expression": [
              "Communication/dental-education2: Communication.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Observation-Overjet",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-Overjet",
        "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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#wasa91D7ZMcJlS0t' does not resolve"
            },
            "expression": [
              "Observation/Overjet: 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/Overjet: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Observation-Present-job-example-dental",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-Present-job-example-dental",
        "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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#tBxNgqGxyFmgQxMw' does not resolve"
            },
            "expression": [
              "Observation/Present-job-example-dental: Observation.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 9
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 95
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/odh/StructureDefinition/odh-PastOrPresentJob' does not resolve"
            },
            "expression": [
              "Observation/Present-job-example-dental: Observation.meta.profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 26
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 27
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.114222.4.11.7186' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/Present-job-example-dental: Observation.value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 28
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 66
              },
              {
                "url": "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": "URL value 'urn:oid:2.16.840.1.114222.4.11.7186' does not resolve"
            },
            "expression": [
              "Observation/Present-job-example-dental: Observation.value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "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/Present-job-example-dental: Observation"
            ]
          },
          {
            "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": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://hl7.org/fhir/us/odh/StructureDefinition/odh-PastOrPresentJob' has not been checked because it could not be found, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Observation/Present-job-example-dental: Observation.meta.profile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Observation-Education-level-example-dental",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-Education-level-example-dental",
        "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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#JtfdlChUIkdgBsah' does not resolve"
            },
            "expression": [
              "Observation/Education-level-example-dental: 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/Education-level-example-dental: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Observation-Smoker-obs-example-dental",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-Smoker-obs-example-dental",
        "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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#rbAySE3CzqAqMLAi' does not resolve"
            },
            "expression": [
              "Observation/Smoker-obs-example-dental: 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/Smoker-obs-example-dental: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Observation-vitals-panel",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-vitals-panel",
        "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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#yRwE1fXbuvVKqZ8e' does not resolve"
            },
            "expression": [
              "Observation/vitals-panel: 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/vitals-panel: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Observation-respiratory-rate",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-respiratory-rate",
        "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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#EcWTwT8MFOX9PINM' does not resolve"
            },
            "expression": [
              "Observation/respiratory-rate: 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/respiratory-rate: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Observation-body-temperature",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-body-temperature",
        "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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#REnsBqvBWPf1HQjF' does not resolve"
            },
            "expression": [
              "Observation/body-temperature: 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/body-temperature: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Observation-heart-rate",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-heart-rate",
        "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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#cceKMTcuaAr8IJDF' does not resolve"
            },
            "expression": [
              "Observation/heart-rate: 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/heart-rate: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Observation-blood-pressure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-blood-pressure",
        "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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#YrIfFDp7xvjljto4' does not resolve"
            },
            "expression": [
              "Observation/blood-pressure: 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/blood-pressure: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Practitioner-practitioner-UNK",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Practitioner-practitioner-UNK",
        "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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#Ysu32TJmFpSGwO7W' does not resolve"
            },
            "expression": [
              "Practitioner/practitioner-UNK: Practitioner.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner#us-core-16"
              }
            ],
            "severity": "error",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: us-core-16: 'NPI must be 10 digits'"
            },
            "expression": [
              "Practitioner/practitioner-UNK: Practitioner.identifier[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner#us-core-17"
              }
            ],
            "severity": "error",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: us-core-17: 'NPI check digit must be valid (Luhn algorithm check)'"
            },
            "expression": [
              "Practitioner/practitioner-UNK: Practitioner.identifier[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Procedure-Insulin-pump-insertion",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-Insulin-pump-insertion",
        "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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#xP78t4yyrOzmsLyy' does not resolve"
            },
            "expression": [
              "Procedure/Insulin-pump-insertion: Procedure.meta.source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Procedure-Oral-eval-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-Oral-eval-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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#uo5JNwq8ruoophA0' does not resolve"
            },
            "expression": [
              "Procedure/Oral-eval-example: Procedure.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://ada.org/cdt' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Procedure/Oral-eval-example: Procedure.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 18
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 49
              },
              {
                "url": "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": "URL value 'http://ada.org/cdt' does not resolve"
            },
            "expression": [
              "Procedure/Oral-eval-example: Procedure.code.coding[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/ServiceRequest-Dental-extraction-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ServiceRequest-Dental-extraction-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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#c7jv7dROPUQx9Rtd' does not resolve"
            },
            "expression": [
              "ServiceRequest/Dental-extraction-example: ServiceRequest.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 21
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://ada.org/cdt' could not be found, so the code cannot be validated"
            },
            "expression": [
              "ServiceRequest/Dental-extraction-example: ServiceRequest.code.coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 23
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 49
              },
              {
                "url": "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": "URL value 'http://ada.org/cdt' does not resolve"
            },
            "expression": [
              "ServiceRequest/Dental-extraction-example: ServiceRequest.code.coding[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/ServiceRequest-Radiograph-survey",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ServiceRequest-Radiograph-survey",
        "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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#pV3lHNgD21KZwfyT' does not resolve"
            },
            "expression": [
              "ServiceRequest/Radiograph-survey: ServiceRequest.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 13
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://ada.org/cdt' could not be found, so the code cannot be validated"
            },
            "expression": [
              "ServiceRequest/Radiograph-survey: ServiceRequest.code.coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 15
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 49
              },
              {
                "url": "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": "URL value 'http://ada.org/cdt' does not resolve"
            },
            "expression": [
              "ServiceRequest/Radiograph-survey: ServiceRequest.code.coding[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/ServiceRequest-Resin-restore-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ServiceRequest-Resin-restore-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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#8eTk7ieg8JpgAUgE' does not resolve"
            },
            "expression": [
              "ServiceRequest/Resin-restore-example: ServiceRequest.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 13
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://ada.org/cdt' could not be found, so the code cannot be validated"
            },
            "expression": [
              "ServiceRequest/Resin-restore-example: ServiceRequest.code.coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 15
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 49
              },
              {
                "url": "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": "URL value 'http://ada.org/cdt' does not resolve"
            },
            "expression": [
              "ServiceRequest/Resin-restore-example: ServiceRequest.code.coding[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/ServiceRequest-prophylaxis-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ServiceRequest-prophylaxis-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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#3GuJaGTJjbgyJVdj' does not resolve"
            },
            "expression": [
              "ServiceRequest/prophylaxis-example: ServiceRequest.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 13
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://ada.org/cdt' could not be found, so the code cannot be validated"
            },
            "expression": [
              "ServiceRequest/prophylaxis-example: ServiceRequest.code.coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 15
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 49
              },
              {
                "url": "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": "URL value 'http://ada.org/cdt' does not resolve"
            },
            "expression": [
              "ServiceRequest/prophylaxis-example: ServiceRequest.code.coding[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/CapabilityStatement-dental-server-capstat",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CapabilityStatement-dental-server-capstat",
        "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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#IeHKWGt9mkBPbWeC' does not resolve"
            },
            "expression": [
              "CapabilityStatement/dental-server-capstat: CapabilityStatement.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15905
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/ccda/CapabilityStatement/CcdaOnFhirServer' does not resolve"
            },
            "expression": [
              "CapabilityStatement/dental-server-capstat: CapabilityStatement.imports[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16478
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/dental-data-exchange/StructureDefinition/dental-referral-note' does not resolve"
            },
            "expression": [
              "CapabilityStatement/dental-server-capstat: CapabilityStatement.rest[0].resource[1].supportedProfile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16564
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/dental-data-exchange/StructureDefinition/dental-consult-note' does not resolve"
            },
            "expression": [
              "CapabilityStatement/dental-server-capstat: CapabilityStatement.rest[0].resource[1].supportedProfile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18171
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/dental-data-exchange/StructureDefinition/dental-referral-note' does not resolve"
            },
            "expression": [
              "CapabilityStatement/dental-server-capstat: CapabilityStatement.document[0].profile"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18287
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/dental-data-exchange/StructureDefinition/dental-consult-note' does not resolve"
            },
            "expression": [
              "CapabilityStatement/dental-server-capstat: CapabilityStatement.document[1].profile"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18730
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_WG_NEEDED"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "When HL7 is publishing a resource, the owning committee must be stated using the http://hl7.org/fhir/StructureDefinition/structuredefinition-wg extension"
            },
            "expression": [
              "CapabilityStatement/dental-server-capstat: CapabilityStatement"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/CapabilityStatement-dental-client-capstat",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CapabilityStatement-dental-client-capstat",
        "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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#pQcDfyrtxlIFq5DN' does not resolve"
            },
            "expression": [
              "CapabilityStatement/dental-client-capstat: CapabilityStatement.meta.source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15958
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/ccda/CapabilityStatement/CcdaOnFhirClient' does not resolve"
            },
            "expression": [
              "CapabilityStatement/dental-client-capstat: CapabilityStatement.imports[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16531
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/dental-data-exchange/StructureDefinition/dental-referral-note' does not resolve"
            },
            "expression": [
              "CapabilityStatement/dental-client-capstat: CapabilityStatement.rest[0].resource[1].supportedProfile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16617
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/dental-data-exchange/StructureDefinition/dental-consult-note' does not resolve"
            },
            "expression": [
              "CapabilityStatement/dental-client-capstat: CapabilityStatement.rest[0].resource[1].supportedProfile[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18224
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/dental-data-exchange/StructureDefinition/dental-referral-note' does not resolve"
            },
            "expression": [
              "CapabilityStatement/dental-client-capstat: CapabilityStatement.document[0].profile"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18340
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Canonical URL 'http://hl7.org/fhir/us/dental-data-exchange/StructureDefinition/dental-consult-note' does not resolve"
            },
            "expression": [
              "CapabilityStatement/dental-client-capstat: CapabilityStatement.document[1].profile"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18783
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_WG_NEEDED"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "When HL7 is publishing a resource, the owning committee must be stated using the http://hl7.org/fhir/StructureDefinition/structuredefinition-wg extension"
            },
            "expression": [
              "CapabilityStatement/dental-client-capstat: CapabilityStatement"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/dental-data-exchange/OperationOutcome/Parameters-dental-terminology-settings",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Parameters-dental-terminology-settings",
        "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_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "URL value '#ltyXqm0YQRtsrCZI' does not resolve"
            },
            "expression": [
              "Parameters/dental-terminology-settings: Parameters.meta.source"
            ]
          }
        ]
      }
    }
  ]
}