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

Resources that use this resource

No resources found


Resources that this resource uses

No resources found


Narrative

No narrative content found in resource


Source1

{
  "resourceType": "Bundle",
  "type": "collection",
  "timestamp": "2025-12-15T17:51:12.931+00:00",
  "entry": [
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/ImplementationGuide-hl7.fhir.us.ecr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ImplementationGuide-hl7.fhir.us.ecr",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9437
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/tools/StructureDefinition/expansion-parameters'"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.us.ecr: ImplementationGuide.definition.extension[30].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3005
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "IG_DEPENDENCY_VERSION_WARNING_OLD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The ImplementationGuide uses package hl7.fhir.us.core#6.1.0 released on 2023-06-30, but the most recent appropriate version is 8.0.1. This reference is getting old and the more recent version should be considered"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.us.ecr: ImplementationGuide.dependsOn[2]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Bundle-bundle-ecr-message-zika",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Bundle-bundle-ecr-message-zika",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1437
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[15].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 111
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_MultipleMatches"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Found multiple matching profiles for Patient/patient-ecr-eve-everywoman among choices: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0, http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient|2.0.0-snapshot"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[0].resource.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 94
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[0].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 538
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[1].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 556
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_MultipleMatches"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Found multiple matching profiles for Patient/patient-ecr-eve-everywoman among choices: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0, http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient|2.0.0-snapshot"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[1].resource.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 596
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[2].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 639
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[3].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 661
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_MultipleMatches"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Found multiple matching profiles for Patient/patient-ecr-eve-everywoman among choices: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0, http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient|2.0.0-snapshot"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[3].resource.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 709
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[4].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 761
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[5].resource/*Condition/condition-eicr-eve-everywoman-common-cold*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 779
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_MultipleMatches"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Found multiple matching profiles for Patient/patient-ecr-eve-everywoman among choices: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0, http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient|2.0.0-snapshot"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[5].resource/*Condition/condition-eicr-eve-everywoman-common-cold*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 801
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[6].resource/*Encounter/encounter-eicr-eve-everywoman-outpatient*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 826
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_MultipleMatches"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Found multiple matching profiles for Patient/patient-ecr-eve-everywoman among choices: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0, http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient|2.0.0-snapshot"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[6].resource/*Encounter/encounter-eicr-eve-everywoman-outpatient*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 910
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[7].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 934
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_MultipleMatches"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Found multiple matching profiles for Patient/patient-ecr-eve-everywoman among choices: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0, http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient|2.0.0-snapshot"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[7].resource.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1017
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[8].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1025
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_MultipleMatches"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Found multiple matching profiles for Patient/patient-ecr-eve-everywoman among choices: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0, http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient|2.0.0-snapshot"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[8].resource.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1068
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[9].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1089
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_MultipleMatches"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Found multiple matching profiles for Patient/patient-ecr-eve-everywoman among choices: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0, http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient|2.0.0-snapshot"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[9].resource.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1108
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[10].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1127
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_MultipleMatches"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Found multiple matching profiles for Patient/patient-ecr-eve-everywoman among choices: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0, http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient|2.0.0-snapshot"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[10].resource.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1160
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[11].resource/*Patient/patient-ecr-eve-everywoman*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1297
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[12].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1325
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[13].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1377
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[14].resource/*PractitionerRole/practitionerrole-henry-seven*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1543
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "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://terminology.hl7.org/CodeSystem/umls' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[16].resource/*Observation/observation-us-ph-exposure-contact-info-football-game*/.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1523
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[16].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1545
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Resolved system http://terminology.hl7.org/CodeSystem/umls (v2.0.1), but the definition doesn't include any codes, so the code has not been validated"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[16].resource.code.coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1553
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_MultipleMatches"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Found multiple matching profiles for Patient/patient-ecr-eve-everywoman among choices: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0, http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient|2.0.0-snapshot"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[16].resource.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1651
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20
              },
              {
                "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:1.0.3166.1' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[17].resource/*Observation/observation-travel-history-eve-everywoman-201801*/.component[0].value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1609
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[17].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1627
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_MultipleMatches"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Found multiple matching profiles for Patient/patient-ecr-eve-everywoman among choices: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0, http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient|2.0.0-snapshot"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[17].resource.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1697
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[18].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1717
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_MultipleMatches"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Found multiple matching profiles for Patient/patient-ecr-eve-everywoman among choices: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0, http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient|2.0.0-snapshot"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[18].resource.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1750
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[19].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1770
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_MultipleMatches"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Found multiple matching profiles for Patient/patient-ecr-eve-everywoman among choices: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0, http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient|2.0.0-snapshot"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[19].resource.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1824
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[20].resource/*Organization/organization-ecr-acme-laboratory*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1928
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.114222.4.5.314' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[21].resource/*Observation/observation-odh-usual-work-eve-everywoman*/.value.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1903
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20
              },
              {
                "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:2.16.840.1.114222.4.5.315' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[21].resource/*Observation/observation-odh-usual-work-eve-everywoman*/.component[0].value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1875
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[21].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1941
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[22].resource/*Location/location-ecr-salem-medical-center*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1998
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[23].resource/*Location/location-ecr-city-football-stadium*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2032
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[24].resource/*Organization/organization-ecr-salem-medical-center*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2083
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[25].resource/*Condition/condition-eicr-eve-everywoman-zika*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2101
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_MultipleMatches"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Found multiple matching profiles for Patient/patient-ecr-eve-everywoman among choices: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0, http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient|2.0.0-snapshot"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[25].resource/*Condition/condition-eicr-eve-everywoman-zika*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2123
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[26].resource/*Practitioner/practitioner-us-core-henry-seven*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2169
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[27].resource/*Device/device-ecmo*/"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Bundle-bundle-eicr-document-zika",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Bundle-bundle-eicr-document-zika",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 478
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_MultipleMatches"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Found multiple matching profiles for Patient/patient-ecr-eve-everywoman among choices: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0, http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient|2.0.0-snapshot"
            },
            "expression": [
              "Bundle/bundle-eicr-document-zika: Bundle.entry[1].resource.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 583
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_MultipleMatches"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Found multiple matching profiles for Patient/patient-ecr-eve-everywoman among choices: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0, http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient|2.0.0-snapshot"
            },
            "expression": [
              "Bundle/bundle-eicr-document-zika: Bundle.entry[3].resource.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 701
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_MultipleMatches"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Found multiple matching profiles for Patient/patient-ecr-eve-everywoman among choices: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0, http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient|2.0.0-snapshot"
            },
            "expression": [
              "Bundle/bundle-eicr-document-zika: Bundle.entry[5].resource/*Condition/condition-eicr-eve-everywoman-common-cold*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 748
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_MultipleMatches"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Found multiple matching profiles for Patient/patient-ecr-eve-everywoman among choices: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0, http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient|2.0.0-snapshot"
            },
            "expression": [
              "Bundle/bundle-eicr-document-zika: Bundle.entry[6].resource/*Encounter/encounter-eicr-eve-everywoman-outpatient*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 856
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_MultipleMatches"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Found multiple matching profiles for Patient/patient-ecr-eve-everywoman among choices: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0, http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient|2.0.0-snapshot"
            },
            "expression": [
              "Bundle/bundle-eicr-document-zika: Bundle.entry[7].resource.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 947
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_MultipleMatches"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Found multiple matching profiles for Patient/patient-ecr-eve-everywoman among choices: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0, http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient|2.0.0-snapshot"
            },
            "expression": [
              "Bundle/bundle-eicr-document-zika: Bundle.entry[8].resource.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1011
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_MultipleMatches"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Found multiple matching profiles for Patient/patient-ecr-eve-everywoman among choices: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0, http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient|2.0.0-snapshot"
            },
            "expression": [
              "Bundle/bundle-eicr-document-zika: Bundle.entry[9].resource.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1049
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_MultipleMatches"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Found multiple matching profiles for Patient/patient-ecr-eve-everywoman among choices: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0, http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient|2.0.0-snapshot"
            },
            "expression": [
              "Bundle/bundle-eicr-document-zika: Bundle.entry[10].resource.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1465
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/umls' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-eicr-document-zika: Bundle.entry[16].resource/*Observation/observation-us-ph-exposure-contact-info-football-game*/.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1467
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Resolved system http://terminology.hl7.org/CodeSystem/umls (v2.0.1), but the definition doesn't include any codes, so the code has not been validated"
            },
            "expression": [
              "Bundle/bundle-eicr-document-zika: Bundle.entry[16].resource.code.coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1475
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_MultipleMatches"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Found multiple matching profiles for Patient/patient-ecr-eve-everywoman among choices: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0, http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient|2.0.0-snapshot"
            },
            "expression": [
              "Bundle/bundle-eicr-document-zika: Bundle.entry[16].resource.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1573
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "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:1.0.3166.1' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-eicr-document-zika: Bundle.entry[17].resource/*Observation/observation-travel-history-eve-everywoman-201801*/.component[0].value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1549
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_MultipleMatches"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Found multiple matching profiles for Patient/patient-ecr-eve-everywoman among choices: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0, http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient|2.0.0-snapshot"
            },
            "expression": [
              "Bundle/bundle-eicr-document-zika: Bundle.entry[17].resource.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1639
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_MultipleMatches"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Found multiple matching profiles for Patient/patient-ecr-eve-everywoman among choices: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0, http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient|2.0.0-snapshot"
            },
            "expression": [
              "Bundle/bundle-eicr-document-zika: Bundle.entry[18].resource.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1692
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_MultipleMatches"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Found multiple matching profiles for Patient/patient-ecr-eve-everywoman among choices: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0, http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient|2.0.0-snapshot"
            },
            "expression": [
              "Bundle/bundle-eicr-document-zika: Bundle.entry[19].resource.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1850
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.114222.4.5.314' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-eicr-document-zika: Bundle.entry[21].resource/*Observation/observation-odh-usual-work-eve-everywoman*/.value.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1825
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "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:2.16.840.1.114222.4.5.315' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-eicr-document-zika: Bundle.entry[21].resource/*Observation/observation-odh-usual-work-eve-everywoman*/.component[0].value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2023
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_MultipleMatches"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Found multiple matching profiles for Patient/patient-ecr-eve-everywoman among choices: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0, http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient|2.0.0-snapshot"
            },
            "expression": [
              "Bundle/bundle-eicr-document-zika: Bundle.entry[25].resource/*Condition/condition-eicr-eve-everywoman-zika*/.subject"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Bundle-bundle-ersd-specification-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Bundle-bundle-ersd-specification-example"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Bundle-bundle-ersd-supplemental-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Bundle-bundle-ersd-supplemental-example"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Bundle-bundle-rr-document-one-cond-one-pha",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Bundle-bundle-rr-document-one-cond-one-pha",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 126
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.114222.4.5.274' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[0].resource.section[2].extension[0].value.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1537
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[15].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 194
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[0].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 638
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[1].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 656
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_MultipleMatches"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Found multiple matching profiles for Patient/patient-ecr-eve-everywoman among choices: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0, http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient|2.0.0-snapshot"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[1].resource.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 696
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[2].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 739
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[3].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 761
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_MultipleMatches"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Found multiple matching profiles for Patient/patient-ecr-eve-everywoman among choices: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0, http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient|2.0.0-snapshot"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[3].resource.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 809
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[4].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 861
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[5].resource/*Condition/condition-eicr-eve-everywoman-common-cold*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 879
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_MultipleMatches"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Found multiple matching profiles for Patient/patient-ecr-eve-everywoman among choices: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0, http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient|2.0.0-snapshot"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[5].resource/*Condition/condition-eicr-eve-everywoman-common-cold*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 901
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[6].resource/*Encounter/encounter-eicr-eve-everywoman-outpatient*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 926
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_MultipleMatches"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Found multiple matching profiles for Patient/patient-ecr-eve-everywoman among choices: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0, http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient|2.0.0-snapshot"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[6].resource/*Encounter/encounter-eicr-eve-everywoman-outpatient*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1010
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[7].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1034
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_MultipleMatches"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Found multiple matching profiles for Patient/patient-ecr-eve-everywoman among choices: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0, http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient|2.0.0-snapshot"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[7].resource.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1117
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[8].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1125
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_MultipleMatches"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Found multiple matching profiles for Patient/patient-ecr-eve-everywoman among choices: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0, http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient|2.0.0-snapshot"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[8].resource.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1168
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[9].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1189
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_MultipleMatches"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Found multiple matching profiles for Patient/patient-ecr-eve-everywoman among choices: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0, http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient|2.0.0-snapshot"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[9].resource.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1208
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[10].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1227
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_MultipleMatches"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Found multiple matching profiles for Patient/patient-ecr-eve-everywoman among choices: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0, http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient|2.0.0-snapshot"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[10].resource.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1260
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[11].resource/*Patient/patient-ecr-eve-everywoman*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1397
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[12].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1425
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[13].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1477
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[14].resource/*PractitionerRole/practitionerrole-henry-seven*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1643
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "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://terminology.hl7.org/CodeSystem/umls' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[1].resource.entry[16].resource/*Observation/observation-us-ph-exposure-contact-info-football-game*/.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1623
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[16].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1645
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Resolved system http://terminology.hl7.org/CodeSystem/umls (v2.0.1), but the definition doesn't include any codes, so the code has not been validated"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[16].resource.code.coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1653
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_MultipleMatches"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Found multiple matching profiles for Patient/patient-ecr-eve-everywoman among choices: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0, http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient|2.0.0-snapshot"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[16].resource.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1751
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20
              },
              {
                "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:1.0.3166.1' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[1].resource.entry[17].resource/*Observation/observation-travel-history-eve-everywoman-201801*/.component[0].value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1709
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[17].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1727
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_MultipleMatches"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Found multiple matching profiles for Patient/patient-ecr-eve-everywoman among choices: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0, http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient|2.0.0-snapshot"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[17].resource.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1797
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[18].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1817
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_MultipleMatches"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Found multiple matching profiles for Patient/patient-ecr-eve-everywoman among choices: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0, http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient|2.0.0-snapshot"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[18].resource.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1850
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[19].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1870
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_MultipleMatches"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Found multiple matching profiles for Patient/patient-ecr-eve-everywoman among choices: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0, http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient|2.0.0-snapshot"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[19].resource.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1924
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[20].resource/*Organization/organization-ecr-acme-laboratory*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2028
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.114222.4.5.314' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[1].resource.entry[21].resource/*Observation/observation-odh-usual-work-eve-everywoman*/.value.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2003
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20
              },
              {
                "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:2.16.840.1.114222.4.5.315' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[1].resource.entry[21].resource/*Observation/observation-odh-usual-work-eve-everywoman*/.component[0].value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1975
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[21].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2041
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[22].resource/*Location/location-ecr-salem-medical-center*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2098
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[23].resource/*Location/location-ecr-city-football-stadium*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2132
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[24].resource/*Organization/organization-ecr-salem-medical-center*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2183
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[25].resource/*Condition/condition-eicr-eve-everywoman-zika*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2201
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_MultipleMatches"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Found multiple matching profiles for Patient/patient-ecr-eve-everywoman among choices: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0, http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient|2.0.0-snapshot"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[25].resource/*Condition/condition-eicr-eve-everywoman-zika*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2223
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[26].resource/*Practitioner/practitioner-us-core-henry-seven*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2269
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/DomainResource#dom-6"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management (text.`div`.exists())' (defined in http://hl7.org/fhir/StructureDefinition/DomainResource) (Best Practice Recommendation)"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[27].resource/*Device/device-ecmo*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2389
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_MultipleMatches"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Found multiple matching profiles for Patient/patient-ecr-eve-everywoman among choices: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0, http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient|2.0.0-snapshot"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[3].resource/*Encounter/encounter-eicr-eve-everywoman-outpatient*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2694
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.114222.4.5.274' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[7].resource/*Observation/observation-rr-reportability-information-observation*/.extension[0].value.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2763
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.114222.4.5.274' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[7].resource/*Observation/observation-rr-reportability-information-observation*/.code.coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2745
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.114222.4.5.232' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[7].resource/*Observation/observation-rr-reportability-information-observation*/.component[0].code.coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2855
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_MultipleMatches"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Found multiple matching profiles for Patient/patient-ecr-eve-everywoman among choices: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0, http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient|2.0.0-snapshot"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[9].resource/*Condition/condition-eicr-eve-everywoman-common-cold*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3003
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_MultipleMatches"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Found multiple matching profiles for Patient/patient-ecr-eve-everywoman among choices: http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0, http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-patient|2.0.0-snapshot"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[12].resource/*Condition/condition-eicr-eve-everywoman-zika*/.subject"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3040
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.114222.4.5.232' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[13].resource/*Organization/organization-rr-routing-entity-haw*/.type[0].coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3091
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.114222.4.5.232' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[14].resource/*Organization/organization-rr-rules-authoring-agency-haw*/.type[0].coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3142
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.114222.4.5.232' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[15].resource/*Organization/organization-rr-responsible-agency-haw*/.type[0].coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3224
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_subject"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a subject"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[17].resource/*Observation/observation-rr-eicr-processing-status*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3243
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.114222.4.5.274' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[17].resource/*Observation/observation-rr-eicr-processing-status*/.code.coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3243
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.114222.4.5.274' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[17].resource/*Observation/observation-rr-eicr-processing-status*/.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3257
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_subject"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a subject"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[18].resource/*Observation/observation-rr-eicr-processing-status-reason*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3292
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.114222.4.5.232' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[18].resource/*Observation/observation-rr-eicr-processing-status-reason*/.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3303
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.114222.4.5.274' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[18].resource/*Observation/observation-rr-eicr-processing-status-reason*/.value.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3272
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.114222.4.5.274' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[18].resource/*Observation/observation-rr-eicr-processing-status-reason*/.component[0].code.coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3281
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "INACTIVE_CONCEPT_FOUND"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The concept '69092001' has a status of inactive and its use should be reviewed"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[18].resource/*Observation/observation-rr-eicr-processing-status-reason*/.component[0].value.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3327
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.114222.4.5.274' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[19].resource/*DocumentReference/documentreference-add-reporting-needs-pdf*/.extension[0].value.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3349
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.114222.4.5.274' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[19].resource/*DocumentReference/documentreference-add-reporting-needs-pdf*/.category[0].coding[0]"
            ]
          },
          {
            "extension": [
              {
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            "code": "not-found",
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              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.114222.4.5.274' could not be found, so the code cannot be validated"
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            "expression": [
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            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.114222.4.5.274' could not be found, so the code cannot be validated"
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              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[20].resource/*DocumentReference/documentreference-zika-follow-up-pdf*/.category[0].coding[0]"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/CapabilityStatement-capabilitystatement-ecr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CapabilityStatement-capabilitystatement-ecr"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/CapabilityStatement-capabilitystatement-ersd-client",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CapabilityStatement-capabilitystatement-ersd-client"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/CodeSystem-codesystem-ersd-jurisdiction-types-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-codesystem-ersd-jurisdiction-types-example"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/CodeSystem-codesystem-ersd-jurisdictions-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-codesystem-ersd-jurisdictions-example"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/CodeSystem-codesystem-properties-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-codesystem-properties-example"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Composition-composition-eicr-pertussis-zika",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Composition-composition-eicr-pertussis-zika"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Composition-composition-eicr-zika-manual-initiation",
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        "resourceType": "OperationOutcome",
        "id": "Composition-composition-eicr-zika-manual-initiation",
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            "code": "not-found",
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              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.114222.4.5.274' could not be found, so the code cannot be validated"
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            "expression": [
              "Composition/composition-eicr-zika-manual-initiation: Composition.extension[1].value.ofType(CodeableConcept).coding[0]"
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          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Composition-composition-eicr-zika",
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        "resourceType": "OperationOutcome",
        "id": "Composition-composition-eicr-zika"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Composition-composition-rr-one-cond-one-pha",
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              {
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            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.114222.4.5.274' could not be found, so the code cannot be validated"
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            "expression": [
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Composition-composition-rr-single-single-html-validation-output",
      "resource": {
        "resourceType": "OperationOutcome",
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          {
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    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Condition-condition-eicr-eve-everywoman-common-cold",
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        "resourceType": "OperationOutcome",
        "id": "Condition-condition-eicr-eve-everywoman-common-cold"
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    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Condition-condition-eicr-eve-everywoman-diabetes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-condition-eicr-eve-everywoman-diabetes"
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    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Condition-condition-eicr-eve-everywoman-pertussis",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-condition-eicr-eve-everywoman-pertussis"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Condition-condition-eicr-eve-everywoman-zika",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-condition-eicr-eve-everywoman-zika"
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    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Device-device-ecmo",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Device-device-ecmo"
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    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Device-device-ecr-software-ymca",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Device-device-ecr-software-ymca"
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    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/DocumentReference-documentreference-add-reporting-needs-pdf",
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    {
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            "severity": "warning",
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    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/DocumentReference-documentreference-rr-one-cond-one-pha",
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        "resourceType": "OperationOutcome",
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    {
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            "code": "not-found",
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              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.114222.4.5.274' could not be found, so the code cannot be validated"
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    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Encounter-encounter-eicr-eve-everywoman-completed-inpatient",
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        "resourceType": "OperationOutcome",
        "id": "Encounter-encounter-eicr-eve-everywoman-completed-inpatient"
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    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Encounter-encounter-eicr-eve-everywoman-current-inpatient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Encounter-encounter-eicr-eve-everywoman-current-inpatient"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Encounter-encounter-eicr-eve-everywoman-external-encounter",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Encounter-encounter-eicr-eve-everywoman-external-encounter"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Encounter-encounter-eicr-eve-everywoman-external-historical",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Encounter-encounter-eicr-eve-everywoman-external-historical"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Encounter-encounter-eicr-eve-everywoman-outpatient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Encounter-encounter-eicr-eve-everywoman-outpatient"
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    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Endpoint-endpoint-ecr-salem-medical-center",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Endpoint-endpoint-ecr-salem-medical-center"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Endpoint-endpoint-ecr-ymca",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Endpoint-endpoint-ecr-ymca"
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    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Immunization-immunization-ecr-pneumo",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Immunization-immunization-ecr-pneumo"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Library-library-ersd-specification-library-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Library-library-ersd-specification-library-example"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Library-library-ersd-supplemental-library-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Library-library-ersd-supplemental-library-example"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Library-library-executable-rule-filters-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Library-library-executable-rule-filters-example"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Library-library-rctc-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Library-library-rctc-example"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Library-library-us-ph-specification-library-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Library-library-us-ph-specification-library-example"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Library-library-us-ph-supplemental-library-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Library-library-us-ph-supplemental-library-example"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Library-library-us-ph-supplemental-valueset-library-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Library-library-us-ph-supplemental-valueset-library-example"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Library-library-us-ph-valueset-library-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Library-library-us-ph-valueset-library-example"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Location-location-ecr-city-football-stadium",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Location-location-ecr-city-football-stadium"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Location-location-ecr-salem-medical-center",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Location-location-ecr-salem-medical-center"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/MedicationAdministration-medicationadministration-eve-everywoman-azithromycin",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-medicationadministration-eve-everywoman-azithromycin"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/MedicationAdministration-medicationadministration-eve-everywoman-naloxone-response",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-medicationadministration-eve-everywoman-naloxone-response"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/MessageHeader-messageheader-ecr-requested-eicr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MessageHeader-messageheader-ecr-requested-eicr"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Observation-observation-blood-pressure-eve-everywoman",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-blood-pressure-eve-everywoman"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Observation-observation-characteristics-of-home-environment-eve-everywoman",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-characteristics-of-home-environment-eve-everywoman"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Observation-observation-country-of-nationality-eve-everywoman",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-country-of-nationality-eve-everywoman"
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    {
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        "resourceType": "OperationOutcome",
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        "resourceType": "OperationOutcome",
        "id": "Observation-observation-eicr-organism-detected-klebsiella-oxytoca"
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    {
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        "resourceType": "OperationOutcome",
        "id": "Observation-observation-eicr-organism-susceptibility-meropenem"
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    {
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        "resourceType": "OperationOutcome",
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        "resourceType": "OperationOutcome",
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    {
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      "resource": {
        "resourceType": "OperationOutcome",
        "id": "PlanDefinition-plandefinition-ersd-instance-relateddata-extension-example"
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        "resourceType": "OperationOutcome",
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    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/PractitionerRole-practitionerrole-henry-seven",
      "resource": {
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      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Procedure-procedure-ecmo",
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        "resourceType": "OperationOutcome",
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    {
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        "resourceType": "OperationOutcome",
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      "resource": {
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    {
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      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-2.16.840.1.113762.1.4.1146.528-example"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/ValueSet-2.16.840.1.113762.1.4.1146.6-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-2.16.840.1.113762.1.4.1146.6-example"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/ValueSet-2.16.840.1.113762.1.4.1146.761-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-2.16.840.1.113762.1.4.1146.761-example"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/ValueSet-2.16.840.1.113762.1.4.1146.762-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-2.16.840.1.113762.1.4.1146.762-example"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/ValueSet-valueset-chlamydia-supplemental-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-valueset-chlamydia-supplemental-example"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/ValueSet-valueset-chlamydia-triggering-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-valueset-chlamydia-triggering-example"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/ValueSet-valueset-diagnosis-problem-triggers-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-valueset-diagnosis-problem-triggers-example"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/ValueSet-valueset-dxtc-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-valueset-dxtc-example"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/ValueSet-valueset-ersd-jurisdiction-types-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-valueset-ersd-jurisdiction-types-example"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/ValueSet-valueset-lab-obs-test-name-triggers-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-valueset-lab-obs-test-name-triggers-example"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/ValueSet-valueset-lab-order-test-triggers-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-valueset-lab-order-test-triggers-example"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/ValueSet-valueset-lotc-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-valueset-lotc-example"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/ValueSet-valueset-lrtc-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-valueset-lrtc-example"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/ValueSet-valueset-medications-triggers-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-valueset-medications-triggers-example"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/ValueSet-valueset-mrtc-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-valueset-mrtc-example"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/ValueSet-valueset-organism-substance-triggers-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-valueset-organism-substance-triggers-example"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/ValueSet-valueset-ostc-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-valueset-ostc-example"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/ValueSet-valueset-procedure-triggers-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-valueset-procedure-triggers-example"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/ValueSet-valueset-sdtc-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-valueset-sdtc-example"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/ValueSet-valueset-suspected-disorder-triggers-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-valueset-suspected-disorder-triggers-example"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/ValueSet-valueset-us-ph-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-valueset-us-ph-example"
      }
    }
  ]
}