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Packagehl7.fhir.us.ecr.r4b
Resource TypeBundle
Idvalidation-oo.json
FHIR VersionR4B

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Source1

{
  "resourceType": "Bundle",
  "type": "collection",
  "timestamp": "2024-10-30T20:58:11.932+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": 7014
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_MARKDOWN_HTML"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The markdown contains content that appears to be an embedded HTML tag starting at '# '. This will (or SHOULD) be escaped by the presentation layer. The content should be checked to confirm that this is the desired behaviour"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.us.ecr: ImplementationGuide.description"
            ]
          }
        ]
      }
    },
    {
      "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",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/observation-characteristics-of-home-environment-eve-everywoman: Observation"
            ]
          }
        ]
      }
    },
    {
      "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",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/observation-country-of-nationality-eve-everywoman: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Observation-observation-country-of-residence-eve-everywoman",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-country-of-residence-eve-everywoman",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/observation-country-of-residence-eve-everywoman: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Device-device-ecmo",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Device-device-ecmo"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Observation-observation-disability-status-eve-everywoman",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-disability-status-eve-everywoman",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/observation-disability-status-eve-everywoman: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/CapabilityStatement-capabilitystatement-ecr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CapabilityStatement-capabilitystatement-ecr"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Device-device-ecr-software-ymca",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Device-device-ecr-software-ymca"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-ecr-messageheader",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ecr-messageheader"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/ValueSet-valueset-ecr-messageheader-event",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-valueset-ecr-messageheader-event"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/ValueSet-valueset-chlamydia-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-valueset-chlamydia-example"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/MessageHeader-messageheader-ecr-requested-eicr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MessageHeader-messageheader-ecr-requested-eicr"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-eicr-composition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-eicr-composition"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-eicr-document-bundle",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-eicr-document-bundle"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-eicr-encounter",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-eicr-encounter"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-eicr-procedure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-eicr-procedure"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-eicr-servicerequest",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-eicr-servicerequest"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-eicr-country-of-nationality",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-eicr-country-of-nationality"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-eicr-country-of-residence",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-eicr-country-of-residence"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-eicr-vaccine-credential-patient-assertion",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-eicr-vaccine-credential-patient-assertion"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-rr-composition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-rr-composition"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-rr-document-bundle",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-rr-document-bundle"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-rr-relevant-reportable-condition-observation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-rr-relevant-reportable-condition-observation"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-rr-documentreference",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-rr-documentreference"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-rr-eicr-processing-status-extension",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-rr-eicr-processing-status-extension"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-rr-eicr-processing-status-observation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-rr-eicr-processing-status-observation"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-rr-eicr-processing-status-reason-observation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-rr-eicr-processing-status-reason-observation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 55866
              },
              {
                "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": [
              "StructureDefinition/rr-eicr-processing-status-reason-observation: StructureDefinition.snapshot.element[14].pattern.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 110644
              },
              {
                "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": [
              "StructureDefinition/rr-eicr-processing-status-reason-observation: StructureDefinition.differential.element[2].pattern.ofType(CodeableConcept).coding[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-rr-reportability-information-observation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-rr-reportability-information-observation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 147080
              },
              {
                "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": [
              "StructureDefinition/rr-reportability-information-observation: StructureDefinition.snapshot.element[61].pattern.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 167405
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
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            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.114222.4.5.232' could not be found, so the code cannot be validated"
            },
            "expression": [
              "StructureDefinition/rr-reportability-information-observation: StructureDefinition.differential.element[14].pattern.ofType(CodeableConcept).coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-rr-responsible-agency-organization",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-rr-responsible-agency-organization",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
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            "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": [
              "StructureDefinition/rr-responsible-agency-organization: StructureDefinition.snapshot.element[13].pattern.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
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            ],
            "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": [
              "StructureDefinition/rr-responsible-agency-organization: StructureDefinition.differential.element[3].pattern.ofType(CodeableConcept).coding[0]"
            ]
          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-rr-routing-entity-organization",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-rr-routing-entity-organization",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
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            ],
            "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": [
              "StructureDefinition/rr-routing-entity-organization: StructureDefinition.snapshot.element[13].pattern.ofType(CodeableConcept).coding[0]"
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          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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            "severity": "warning",
            "code": "not-found",
            "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": [
              "StructureDefinition/rr-routing-entity-organization: StructureDefinition.differential.element[3].pattern.ofType(CodeableConcept).coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-rr-rules-authoring-agency-organization",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-rr-rules-authoring-agency-organization",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 48405
              },
              {
                "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": [
              "StructureDefinition/rr-rules-authoring-agency-organization: StructureDefinition.snapshot.element[13].pattern.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 87930
              },
              {
                "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": [
              "StructureDefinition/rr-rules-authoring-agency-organization: StructureDefinition.differential.element[3].pattern.ofType(CodeableConcept).coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-rr-summary",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-rr-summary"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Composition-composition-eicr-pertussis-zika",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Composition-composition-eicr-pertussis-zika"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Composition-composition-eicr-zika",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Composition-composition-eicr-zika"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Composition-composition-eicr-zika-manual-initiation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Composition-composition-eicr-zika-manual-initiation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "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": [
              "Composition/composition-eicr-zika-manual-initiation: Composition.extension[1].value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1297
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.113883.10.20.15.2.5.11|1' because the code system urn:oid:2.16.840.1.114222.4.5.274 was not found"
            },
            "expression": [
              "Composition/composition-eicr-zika-manual-initiation: Composition.extension[1].value.ofType(CodeableConcept)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1297
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "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; Unable to check whether the code is in the value set 'http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.113883.10.20.15.2.5.11|1' because the code system urn:oid:2.16.840.1.114222.4.5.274 was not found"
            },
            "expression": [
              "Composition/composition-eicr-zika-manual-initiation: Composition.extension[1].value.ofType(CodeableConcept)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1297
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "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": [
              "Composition/composition-eicr-zika-manual-initiation: Composition.extension[1].value.ofType(CodeableConcept).coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Condition-condition-eicr-eve-everywoman-diabetes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-condition-eicr-eve-everywoman-diabetes"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Condition-condition-eicr-eve-everywoman-pertussis",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-condition-eicr-eve-everywoman-pertussis"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Condition-condition-eicr-eve-everywoman-zika",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-condition-eicr-eve-everywoman-zika"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Condition-condition-eicr-eve-everywoman-common-cold",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-condition-eicr-eve-everywoman-common-cold"
      }
    },
    {
      "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": 2238
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-eicr-document-zika: Bundle.entry[7].resource/*Observation/observation-pregnancy-status-eve-everywoman*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2316
              },
              {
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-eicr-document-zika: Bundle.entry[8].resource/*Observation/observation-vaccine-credential-assertion-eve-everywoman*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-eicr-document-zika: Bundle.entry[9].resource/*Observation/observation-us-ph-emergency-outbreak-info-eve-everywoman*/"
            ]
          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2377
              },
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-eicr-document-zika: Bundle.entry[10].resource/*Observation/observation-country-of-nationality-eve-everywoman*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2581
              },
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-eicr-document-zika: Bundle.entry[13].resource/*Observation/observation-country-of-residence-eve-everywoman*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2663
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-eicr-document-zika: Bundle.entry[15].resource/*Observation/observation-blood-pressure-eve-everywoman*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2734
              },
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-eicr-document-zika: Bundle.entry[16].resource/*Observation/observation-us-ph-exposure-contact-info-football-game*/"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2754
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "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": 2754
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "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.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2787
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-eicr-document-zika: Bundle.entry[17].resource/*Observation/observation-travel-history-eve-everywoman-201801*/"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2837
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "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[1].value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
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            ],
            "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": [
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          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-eicr-document-zika: Bundle.entry[18].resource/*Observation/observation-disability-status-eve-everywoman*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2894
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-eicr-document-zika: Bundle.entry[19].resource/*Observation/observation-us-ph-lab-result-eve-everywoman-lymphocytes*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2238
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-eicr-document-zika: Bundle.entry[7].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-eicr-document-zika: Bundle.entry[8].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
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            ]
          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
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            ]
          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
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            ]
          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
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            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-eicr-document-zika: Bundle.entry[16].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2787
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-eicr-document-zika: Bundle.entry[17].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2866
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-eicr-document-zika: Bundle.entry[18].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2894
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-eicr-document-zika: Bundle.entry[19].resource"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-eicr-initiation-type-extension",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-eicr-initiation-type-extension"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Procedure-us-ph-procedure-ecmo",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-us-ph-procedure-ecmo"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/ServiceRequest-servicerequest-eicr-zika",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ServiceRequest-servicerequest-eicr-zika"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/ServiceRequest-servicerequest-eicr-eve-everywoman-zika",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ServiceRequest-servicerequest-eicr-eve-everywoman-zika"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-eicr-trigger-code-flag-extension",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-eicr-trigger-code-flag-extension"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Observation-observation-vaccine-credential-assertion-eve-everywoman",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-vaccine-credential-assertion-eve-everywoman",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/observation-vaccine-credential-assertion-eve-everywoman: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Endpoint-endpoint-ecr-salem-medical-center",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Endpoint-endpoint-ecr-salem-medical-center"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Endpoint-endpoint-ecr-ymca",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Endpoint-endpoint-ecr-ymca"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/CapabilityStatement-capabilitystatement-ersd-client",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CapabilityStatement-capabilitystatement-ersd-client"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/CodeSystem-ersd-endpoint-connection-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-ersd-endpoint-connection-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/ValueSet-valueset-ersd-endpoint-connection-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-valueset-ersd-endpoint-connection-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/CodeSystem-ersd-jurisdictions-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-ersd-jurisdictions-example"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/CodeSystem-ersd-jurisdiction-types",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-ersd-jurisdiction-types"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Bundle-bundle-ersd-specification-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Bundle-bundle-ersd-specification-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3290
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 34
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '127631000119105' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (127631000119105)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[10].resource/*ValueSet/2.16.840.1.113762.1.4.1146.1505*/.compose.include[0].concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '15693201000119102' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (15693201000119102)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[10].resource/*ValueSet/2.16.840.1.113762.1.4.1146.1505*/.compose.include[0].concept[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '15693241000119100' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (15693241000119100)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[10].resource/*ValueSet/2.16.840.1.113762.1.4.1146.1505*/.compose.include[0].concept[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '15693281000119105' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (15693281000119105)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[10].resource/*ValueSet/2.16.840.1.113762.1.4.1146.1505*/.compose.include[0].concept[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '15698841000119105' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (15698841000119105)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[10].resource/*ValueSet/2.16.840.1.113762.1.4.1146.1505*/.compose.include[0].concept[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '15698881000119100' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (15698881000119100)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[10].resource/*ValueSet/2.16.840.1.113762.1.4.1146.1505*/.compose.include[0].concept[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '231896005' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (231896005)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[10].resource/*ValueSet/2.16.840.1.113762.1.4.1146.1505*/.compose.include[0].concept[6]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '711645008' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (711645008)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[10].resource/*ValueSet/2.16.840.1.113762.1.4.1146.1505*/.compose.include[0].concept[7]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '840444002' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (840444002)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[10].resource/*ValueSet/2.16.840.1.113762.1.4.1146.1505*/.compose.include[0].concept[8]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '840484006' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (840484006)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[10].resource/*ValueSet/2.16.840.1.113762.1.4.1146.1505*/.compose.include[0].concept[9]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3619
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 34
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '212516009' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (212516009)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[12].resource/*ValueSet/2.16.840.1.113762.1.4.1146.1507*/.compose.include[0].concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '216792005' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (216792005)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[12].resource/*ValueSet/2.16.840.1.113762.1.4.1146.1507*/.compose.include[0].concept[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '216794006' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (216794006)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[12].resource/*ValueSet/2.16.840.1.113762.1.4.1146.1507*/.compose.include[0].concept[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '216795007' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (216795007)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[12].resource/*ValueSet/2.16.840.1.113762.1.4.1146.1507*/.compose.include[0].concept[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '241770003' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (241770003)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[12].resource/*ValueSet/2.16.840.1.113762.1.4.1146.1507*/.compose.include[0].concept[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '241771004' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (241771004)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[12].resource/*ValueSet/2.16.840.1.113762.1.4.1146.1507*/.compose.include[0].concept[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '360406006' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (360406006)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[12].resource/*ValueSet/2.16.840.1.113762.1.4.1146.1507*/.compose.include[0].concept[6]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '36730005' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (36730005)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[12].resource/*ValueSet/2.16.840.1.113762.1.4.1146.1507*/.compose.include[0].concept[7]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '403740003' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (403740003)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[12].resource/*ValueSet/2.16.840.1.113762.1.4.1146.1507*/.compose.include[0].concept[8]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '403741004' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (403741004)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[12].resource/*ValueSet/2.16.840.1.113762.1.4.1146.1507*/.compose.include[0].concept[9]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '403743001' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (403743001)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[12].resource/*ValueSet/2.16.840.1.113762.1.4.1146.1507*/.compose.include[0].concept[10]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '403744007' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (403744007)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[12].resource/*ValueSet/2.16.840.1.113762.1.4.1146.1507*/.compose.include[0].concept[11]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '403745008' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (403745008)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[12].resource/*ValueSet/2.16.840.1.113762.1.4.1146.1507*/.compose.include[0].concept[12]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '418685002' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (418685002)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[12].resource/*ValueSet/2.16.840.1.113762.1.4.1146.1507*/.compose.include[0].concept[13]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '62210001' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (62210001)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[12].resource/*ValueSet/2.16.840.1.113762.1.4.1146.1507*/.compose.include[0].concept[14]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '72501006' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (72501006)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[12].resource/*ValueSet/2.16.840.1.113762.1.4.1146.1507*/.compose.include[0].concept[15]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '767146004' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (767146004)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[12].resource/*ValueSet/2.16.840.1.113762.1.4.1146.1507*/.compose.include[0].concept[16]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '871783000' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (871783000)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[12].resource/*ValueSet/2.16.840.1.113762.1.4.1146.1507*/.compose.include[0].concept[17]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '89738003' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (89738003)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[12].resource/*ValueSet/2.16.840.1.113762.1.4.1146.1507*/.compose.include[0].concept[18]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '403742006' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (403742006)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[12].resource/*ValueSet/2.16.840.1.113762.1.4.1146.1507*/.compose.include[0].concept[19]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3878
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 34
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '1086051000119107' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (1086051000119107)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[13].resource/*ValueSet/2.16.840.1.113762.1.4.1146.6*/.compose.include[0].concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '1086061000119109' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (1086061000119109)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[13].resource/*ValueSet/2.16.840.1.113762.1.4.1146.6*/.compose.include[0].concept[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '1086071000119103' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (1086071000119103)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[13].resource/*ValueSet/2.16.840.1.113762.1.4.1146.6*/.compose.include[0].concept[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '1090211000119102' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (1090211000119102)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[13].resource/*ValueSet/2.16.840.1.113762.1.4.1146.6*/.compose.include[0].concept[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '129667001' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (129667001)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[13].resource/*ValueSet/2.16.840.1.113762.1.4.1146.6*/.compose.include[0].concept[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '13596001' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (13596001)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[13].resource/*ValueSet/2.16.840.1.113762.1.4.1146.6*/.compose.include[0].concept[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '15682004' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (15682004)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[13].resource/*ValueSet/2.16.840.1.113762.1.4.1146.6*/.compose.include[0].concept[6]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '186347006' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (186347006)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[13].resource/*ValueSet/2.16.840.1.113762.1.4.1146.6*/.compose.include[0].concept[7]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '18901009' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (18901009)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[13].resource/*ValueSet/2.16.840.1.113762.1.4.1146.6*/.compose.include[0].concept[8]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '194945009' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (194945009)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[13].resource/*ValueSet/2.16.840.1.113762.1.4.1146.6*/.compose.include[0].concept[9]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '230596007' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (230596007)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[13].resource/*ValueSet/2.16.840.1.113762.1.4.1146.6*/.compose.include[0].concept[10]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '240422004' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (240422004)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[13].resource/*ValueSet/2.16.840.1.113762.1.4.1146.6*/.compose.include[0].concept[11]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '26117009' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (26117009)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[13].resource/*ValueSet/2.16.840.1.113762.1.4.1146.6*/.compose.include[0].concept[12]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '276197005' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (276197005)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[13].resource/*ValueSet/2.16.840.1.113762.1.4.1146.6*/.compose.include[0].concept[13]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '3419005' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (3419005)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[13].resource/*ValueSet/2.16.840.1.113762.1.4.1146.6*/.compose.include[0].concept[14]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '397428000' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (397428000)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[13].resource/*ValueSet/2.16.840.1.113762.1.4.1146.6*/.compose.include[0].concept[15]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '397430003' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (397430003)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[13].resource/*ValueSet/2.16.840.1.113762.1.4.1146.6*/.compose.include[0].concept[16]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '48278001' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (48278001)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[13].resource/*ValueSet/2.16.840.1.113762.1.4.1146.6*/.compose.include[0].concept[17]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '50215002' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (50215002)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[13].resource/*ValueSet/2.16.840.1.113762.1.4.1146.6*/.compose.include[0].concept[18]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '715659006' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (715659006)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[13].resource/*ValueSet/2.16.840.1.113762.1.4.1146.6*/.compose.include[0].concept[19]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '75589004' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (75589004)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[13].resource/*ValueSet/2.16.840.1.113762.1.4.1146.6*/.compose.include[0].concept[20]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '7773002' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (7773002)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[13].resource/*ValueSet/2.16.840.1.113762.1.4.1146.6*/.compose.include[0].concept[21]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '789005009' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (789005009)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[13].resource/*ValueSet/2.16.840.1.113762.1.4.1146.6*/.compose.include[0].concept[22]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6883
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 34
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '121020003' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (121020003)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[27].resource/*ValueSet/2.16.840.1.113762.1.4.1146.528*/.compose.include[0].concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '121182007' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (121182007)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[27].resource/*ValueSet/2.16.840.1.113762.1.4.1146.528*/.compose.include[0].concept[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '121192004' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (121192004)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[27].resource/*ValueSet/2.16.840.1.113762.1.4.1146.528*/.compose.include[0].concept[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '243604005' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (243604005)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[27].resource/*ValueSet/2.16.840.1.113762.1.4.1146.528*/.compose.include[0].concept[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '34348001' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (34348001)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[27].resource/*ValueSet/2.16.840.1.113762.1.4.1146.528*/.compose.include[0].concept[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '36700002' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (36700002)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[27].resource/*ValueSet/2.16.840.1.113762.1.4.1146.528*/.compose.include[0].concept[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '41328007' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (41328007)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[27].resource/*ValueSet/2.16.840.1.113762.1.4.1146.528*/.compose.include[0].concept[6]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '60588009' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (60588009)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[27].resource/*ValueSet/2.16.840.1.113762.1.4.1146.528*/.compose.include[0].concept[7]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '707875002' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (707875002)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[27].resource/*ValueSet/2.16.840.1.113762.1.4.1146.528*/.compose.include[0].concept[8]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '707876001' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (707876001)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[27].resource/*ValueSet/2.16.840.1.113762.1.4.1146.528*/.compose.include[0].concept[9]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '707877005' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (707877005)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[27].resource/*ValueSet/2.16.840.1.113762.1.4.1146.528*/.compose.include[0].concept[10]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '707878000' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (707878000)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[27].resource/*ValueSet/2.16.840.1.113762.1.4.1146.528*/.compose.include[0].concept[11]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '783725005' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (783725005)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[27].resource/*ValueSet/2.16.840.1.113762.1.4.1146.528*/.compose.include[0].concept[12]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '8467002' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (8467002)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[27].resource/*ValueSet/2.16.840.1.113762.1.4.1146.528*/.compose.include[0].concept[13]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7101
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 34
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '121112003' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (121112003)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[28].resource/*ValueSet/2.16.840.1.113762.1.4.1146.408*/.compose.include[0].concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '121184008' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (121184008)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[28].resource/*ValueSet/2.16.840.1.113762.1.4.1146.408*/.compose.include[0].concept[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '13105002' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (13105002)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[28].resource/*ValueSet/2.16.840.1.113762.1.4.1146.408*/.compose.include[0].concept[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '22290004' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (22290004)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[28].resource/*ValueSet/2.16.840.1.113762.1.4.1146.408*/.compose.include[0].concept[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '303233001' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (303233001)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[28].resource/*ValueSet/2.16.840.1.113762.1.4.1146.408*/.compose.include[0].concept[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '39082004' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (39082004)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[28].resource/*ValueSet/2.16.840.1.113762.1.4.1146.408*/.compose.include[0].concept[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '52680001' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (52680001)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[28].resource/*ValueSet/2.16.840.1.113762.1.4.1146.408*/.compose.include[0].concept[6]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '60605004' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (60605004)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[28].resource/*ValueSet/2.16.840.1.113762.1.4.1146.408*/.compose.include[0].concept[7]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '63350005' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (63350005)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[28].resource/*ValueSet/2.16.840.1.113762.1.4.1146.408*/.compose.include[0].concept[8]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '703886001' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (703886001)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[28].resource/*ValueSet/2.16.840.1.113762.1.4.1146.408*/.compose.include[0].concept[9]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '703887005' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (703887005)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[28].resource/*ValueSet/2.16.840.1.113762.1.4.1146.408*/.compose.include[0].concept[10]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '703888000' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (703888000)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[28].resource/*ValueSet/2.16.840.1.113762.1.4.1146.408*/.compose.include[0].concept[11]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '703889008' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (703889008)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[28].resource/*ValueSet/2.16.840.1.113762.1.4.1146.408*/.compose.include[0].concept[12]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '703890004' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (703890004)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[28].resource/*ValueSet/2.16.840.1.113762.1.4.1146.408*/.compose.include[0].concept[13]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '703891000' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (703891000)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[28].resource/*ValueSet/2.16.840.1.113762.1.4.1146.408*/.compose.include[0].concept[14]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '703892007' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (703892007)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[28].resource/*ValueSet/2.16.840.1.113762.1.4.1146.408*/.compose.include[0].concept[15]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '703893002' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (703893002)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[28].resource/*ValueSet/2.16.840.1.113762.1.4.1146.408*/.compose.include[0].concept[16]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '708281003' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (708281003)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[28].resource/*ValueSet/2.16.840.1.113762.1.4.1146.408*/.compose.include[0].concept[17]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '716076002' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (716076002)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[28].resource/*ValueSet/2.16.840.1.113762.1.4.1146.408*/.compose.include[0].concept[18]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '73661005' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (73661005)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[28].resource/*ValueSet/2.16.840.1.113762.1.4.1146.408*/.compose.include[0].concept[19]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '81665004' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (81665004)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[28].resource/*ValueSet/2.16.840.1.113762.1.4.1146.408*/.compose.include[0].concept[20]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7369
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 34
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '121022006' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (121022006)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource/*ValueSet/2.16.840.1.113762.1.4.1146.409*/.compose.include[0].concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '121185009' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (121185009)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource/*ValueSet/2.16.840.1.113762.1.4.1146.409*/.compose.include[0].concept[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '121204002' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (121204002)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource/*ValueSet/2.16.840.1.113762.1.4.1146.409*/.compose.include[0].concept[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '371140008' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (371140008)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource/*ValueSet/2.16.840.1.113762.1.4.1146.409*/.compose.include[0].concept[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '603413005' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (603413005)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource/*ValueSet/2.16.840.1.113762.1.4.1146.409*/.compose.include[0].concept[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '603414004' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (603414004)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource/*ValueSet/2.16.840.1.113762.1.4.1146.409*/.compose.include[0].concept[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '603415003' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (603415003)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource/*ValueSet/2.16.840.1.113762.1.4.1146.409*/.compose.include[0].concept[6]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '603416002' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (603416002)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource/*ValueSet/2.16.840.1.113762.1.4.1146.409*/.compose.include[0].concept[7]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '603417006' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (603417006)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource/*ValueSet/2.16.840.1.113762.1.4.1146.409*/.compose.include[0].concept[8]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '603418001' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (603418001)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource/*ValueSet/2.16.840.1.113762.1.4.1146.409*/.compose.include[0].concept[9]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '603419009' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (603419009)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource/*ValueSet/2.16.840.1.113762.1.4.1146.409*/.compose.include[0].concept[10]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '603420003' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (603420003)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource/*ValueSet/2.16.840.1.113762.1.4.1146.409*/.compose.include[0].concept[11]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '603421004' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (603421004)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource/*ValueSet/2.16.840.1.113762.1.4.1146.409*/.compose.include[0].concept[12]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '603422006' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (603422006)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource/*ValueSet/2.16.840.1.113762.1.4.1146.409*/.compose.include[0].concept[13]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '603423001' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (603423001)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource/*ValueSet/2.16.840.1.113762.1.4.1146.409*/.compose.include[0].concept[14]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '603424007' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (603424007)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource/*ValueSet/2.16.840.1.113762.1.4.1146.409*/.compose.include[0].concept[15]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '603425008' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (603425008)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource/*ValueSet/2.16.840.1.113762.1.4.1146.409*/.compose.include[0].concept[16]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '603426009' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (603426009)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource/*ValueSet/2.16.840.1.113762.1.4.1146.409*/.compose.include[0].concept[17]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '603427000' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (603427000)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource/*ValueSet/2.16.840.1.113762.1.4.1146.409*/.compose.include[0].concept[18]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '603428005' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (603428005)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource/*ValueSet/2.16.840.1.113762.1.4.1146.409*/.compose.include[0].concept[19]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '603429002' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (603429002)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource/*ValueSet/2.16.840.1.113762.1.4.1146.409*/.compose.include[0].concept[20]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '603430007' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (603430007)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource/*ValueSet/2.16.840.1.113762.1.4.1146.409*/.compose.include[0].concept[21]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '603431006' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (603431006)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource/*ValueSet/2.16.840.1.113762.1.4.1146.409*/.compose.include[0].concept[22]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '603432004' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (603432004)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource/*ValueSet/2.16.840.1.113762.1.4.1146.409*/.compose.include[0].concept[23]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '603433009' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (603433009)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource/*ValueSet/2.16.840.1.113762.1.4.1146.409*/.compose.include[0].concept[24]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '62944002' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (62944002)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource/*ValueSet/2.16.840.1.113762.1.4.1146.409*/.compose.include[0].concept[25]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '711331006' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (711331006)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource/*ValueSet/2.16.840.1.113762.1.4.1146.409*/.compose.include[0].concept[26]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '726592002' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (726592002)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource/*ValueSet/2.16.840.1.113762.1.4.1146.409*/.compose.include[0].concept[27]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '781245007' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (781245007)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource/*ValueSet/2.16.840.1.113762.1.4.1146.409*/.compose.include[0].concept[28]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '781276001' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (781276001)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource/*ValueSet/2.16.840.1.113762.1.4.1146.409*/.compose.include[0].concept[29]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7718
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 34
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '416397000' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (416397000)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[30].resource/*ValueSet/2.16.840.1.113762.1.4.1146.1469*/.compose.include[0].concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '708244002' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (708244002)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[30].resource/*ValueSet/2.16.840.1.113762.1.4.1146.1469*/.compose.include[0].concept[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '708245001' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (708245001)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[30].resource/*ValueSet/2.16.840.1.113762.1.4.1146.1469*/.compose.include[0].concept[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '712664000' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (712664000)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[30].resource/*ValueSet/2.16.840.1.113762.1.4.1146.1469*/.compose.include[0].concept[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '712666003' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (712666003)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[30].resource/*ValueSet/2.16.840.1.113762.1.4.1146.1469*/.compose.include[0].concept[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '78065002' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (78065002)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[30].resource/*ValueSet/2.16.840.1.113762.1.4.1146.1469*/.compose.include[0].concept[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '782956001' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (782956001)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[30].resource/*ValueSet/2.16.840.1.113762.1.4.1146.1469*/.compose.include[0].concept[6]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '782958000' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (782958000)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[30].resource/*ValueSet/2.16.840.1.113762.1.4.1146.1469*/.compose.include[0].concept[7]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '90272000' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (90272000)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[30].resource/*ValueSet/2.16.840.1.113762.1.4.1146.1469*/.compose.include[0].concept[8]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '928051771000087103' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (928051771000087103)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[30].resource/*ValueSet/2.16.840.1.113762.1.4.1146.1469*/.compose.include[0].concept[9]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '707768008' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (707768008)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[30].resource/*ValueSet/2.16.840.1.113762.1.4.1146.1469*/.compose.include[0].concept[10]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '707769000' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (707769000)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[30].resource/*ValueSet/2.16.840.1.113762.1.4.1146.1469*/.compose.include[0].concept[11]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '712663006' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (712663006)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[30].resource/*ValueSet/2.16.840.1.113762.1.4.1146.1469*/.compose.include[0].concept[12]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '712665004' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (712665004)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[30].resource/*ValueSet/2.16.840.1.113762.1.4.1146.1469*/.compose.include[0].concept[13]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7923
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 34
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '30949009' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (30949009)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[31].resource/*ValueSet/2.16.840.1.113762.1.4.1146.1468*/.compose.include[0].concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '53233007' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (53233007)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[31].resource/*ValueSet/2.16.840.1.113762.1.4.1146.1468*/.compose.include[0].concept[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '703032005' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (703032005)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[31].resource/*ValueSet/2.16.840.1.113762.1.4.1146.1468*/.compose.include[0].concept[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8029
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 34
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '722545003' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (722545003)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[32].resource/*ValueSet/2.16.840.1.113762.1.4.1146.1439*/.compose.include[0].concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '722546002' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (722546002)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[32].resource/*ValueSet/2.16.840.1.113762.1.4.1146.1439*/.compose.include[0].concept[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8126
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 34
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '772152006' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (772152006)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[33].resource/*ValueSet/2.16.840.1.113762.1.4.1146.1436*/.compose.include[0].concept[0]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8214
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 34
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '772150003' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (772150003)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[34].resource/*ValueSet/2.16.840.1.113762.1.4.1146.1435*/.compose.include[0].concept[0]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8302
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 34
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '772158005' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (772158005)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[35].resource/*ValueSet/2.16.840.1.113762.1.4.1146.1446*/.compose.include[0].concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8390
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 34
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '772155008' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (772155008)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[36].resource/*ValueSet/2.16.840.1.113762.1.4.1146.1438*/.compose.include[0].concept[0]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3290
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 34
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '127631000119105' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (127631000119105)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[10].resource.compose.include[0].concept[0]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '15693201000119102' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (15693201000119102)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[10].resource.compose.include[0].concept[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '15693241000119100' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (15693241000119100)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[10].resource.compose.include[0].concept[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '15693281000119105' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (15693281000119105)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[10].resource.compose.include[0].concept[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '15698841000119105' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (15698841000119105)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[10].resource.compose.include[0].concept[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '15698881000119100' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (15698881000119100)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[10].resource.compose.include[0].concept[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '231896005' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (231896005)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[10].resource.compose.include[0].concept[6]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '711645008' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (711645008)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[10].resource.compose.include[0].concept[7]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '840444002' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (840444002)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[10].resource.compose.include[0].concept[8]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '840484006' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (840484006)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[10].resource.compose.include[0].concept[9]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3619
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 34
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '212516009' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (212516009)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[12].resource.compose.include[0].concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '216792005' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (216792005)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[12].resource.compose.include[0].concept[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '216794006' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (216794006)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[12].resource.compose.include[0].concept[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '216795007' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (216795007)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[12].resource.compose.include[0].concept[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '241770003' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (241770003)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[12].resource.compose.include[0].concept[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '241771004' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (241771004)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[12].resource.compose.include[0].concept[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '360406006' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (360406006)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[12].resource.compose.include[0].concept[6]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '36730005' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (36730005)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[12].resource.compose.include[0].concept[7]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '403740003' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (403740003)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[12].resource.compose.include[0].concept[8]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '403741004' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (403741004)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[12].resource.compose.include[0].concept[9]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '403743001' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (403743001)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[12].resource.compose.include[0].concept[10]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '403744007' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (403744007)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[12].resource.compose.include[0].concept[11]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '403745008' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (403745008)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[12].resource.compose.include[0].concept[12]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '418685002' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (418685002)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[12].resource.compose.include[0].concept[13]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '62210001' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (62210001)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[12].resource.compose.include[0].concept[14]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '72501006' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (72501006)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[12].resource.compose.include[0].concept[15]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '767146004' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (767146004)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[12].resource.compose.include[0].concept[16]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '871783000' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (871783000)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[12].resource.compose.include[0].concept[17]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '89738003' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (89738003)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[12].resource.compose.include[0].concept[18]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '403742006' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (403742006)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[12].resource.compose.include[0].concept[19]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3878
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 34
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '1086051000119107' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (1086051000119107)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[13].resource.compose.include[0].concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '1086061000119109' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (1086061000119109)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[13].resource.compose.include[0].concept[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '1086071000119103' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (1086071000119103)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[13].resource.compose.include[0].concept[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '1090211000119102' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (1090211000119102)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[13].resource.compose.include[0].concept[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '129667001' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (129667001)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[13].resource.compose.include[0].concept[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '13596001' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (13596001)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[13].resource.compose.include[0].concept[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '15682004' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (15682004)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[13].resource.compose.include[0].concept[6]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '186347006' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (186347006)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[13].resource.compose.include[0].concept[7]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '18901009' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (18901009)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[13].resource.compose.include[0].concept[8]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '194945009' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (194945009)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[13].resource.compose.include[0].concept[9]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '230596007' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (230596007)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[13].resource.compose.include[0].concept[10]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '240422004' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (240422004)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[13].resource.compose.include[0].concept[11]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '26117009' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (26117009)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[13].resource.compose.include[0].concept[12]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '276197005' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (276197005)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[13].resource.compose.include[0].concept[13]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '3419005' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (3419005)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[13].resource.compose.include[0].concept[14]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '397428000' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (397428000)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[13].resource.compose.include[0].concept[15]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '397430003' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (397430003)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[13].resource.compose.include[0].concept[16]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '48278001' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (48278001)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[13].resource.compose.include[0].concept[17]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '50215002' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (50215002)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[13].resource.compose.include[0].concept[18]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '715659006' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (715659006)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[13].resource.compose.include[0].concept[19]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '75589004' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (75589004)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[13].resource.compose.include[0].concept[20]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '7773002' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (7773002)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[13].resource.compose.include[0].concept[21]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '789005009' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (789005009)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[13].resource.compose.include[0].concept[22]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6883
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 34
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '121020003' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (121020003)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[27].resource.compose.include[0].concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '121182007' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (121182007)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[27].resource.compose.include[0].concept[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '121192004' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (121192004)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[27].resource.compose.include[0].concept[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '243604005' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (243604005)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[27].resource.compose.include[0].concept[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '34348001' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (34348001)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[27].resource.compose.include[0].concept[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '36700002' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (36700002)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[27].resource.compose.include[0].concept[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '41328007' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (41328007)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[27].resource.compose.include[0].concept[6]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '60588009' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (60588009)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[27].resource.compose.include[0].concept[7]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '707875002' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (707875002)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[27].resource.compose.include[0].concept[8]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '707876001' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (707876001)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[27].resource.compose.include[0].concept[9]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '707877005' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (707877005)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[27].resource.compose.include[0].concept[10]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '707878000' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (707878000)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[27].resource.compose.include[0].concept[11]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '783725005' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (783725005)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[27].resource.compose.include[0].concept[12]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '8467002' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (8467002)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[27].resource.compose.include[0].concept[13]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7101
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 34
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '121112003' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (121112003)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[28].resource.compose.include[0].concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '121184008' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (121184008)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[28].resource.compose.include[0].concept[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '13105002' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (13105002)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[28].resource.compose.include[0].concept[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '22290004' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (22290004)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[28].resource.compose.include[0].concept[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '303233001' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (303233001)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[28].resource.compose.include[0].concept[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '39082004' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (39082004)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[28].resource.compose.include[0].concept[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '52680001' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (52680001)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[28].resource.compose.include[0].concept[6]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '60605004' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (60605004)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[28].resource.compose.include[0].concept[7]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '63350005' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (63350005)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[28].resource.compose.include[0].concept[8]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '703886001' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (703886001)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[28].resource.compose.include[0].concept[9]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '703887005' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (703887005)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[28].resource.compose.include[0].concept[10]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '703888000' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (703888000)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[28].resource.compose.include[0].concept[11]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '703889008' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (703889008)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[28].resource.compose.include[0].concept[12]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '703890004' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (703890004)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[28].resource.compose.include[0].concept[13]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '703891000' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (703891000)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[28].resource.compose.include[0].concept[14]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '703892007' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (703892007)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[28].resource.compose.include[0].concept[15]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '703893002' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (703893002)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[28].resource.compose.include[0].concept[16]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '708281003' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (708281003)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[28].resource.compose.include[0].concept[17]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '716076002' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (716076002)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[28].resource.compose.include[0].concept[18]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '73661005' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (73661005)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[28].resource.compose.include[0].concept[19]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '81665004' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (81665004)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[28].resource.compose.include[0].concept[20]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7369
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 34
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '121022006' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (121022006)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource.compose.include[0].concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '121185009' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (121185009)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource.compose.include[0].concept[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '121204002' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (121204002)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource.compose.include[0].concept[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '371140008' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (371140008)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource.compose.include[0].concept[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '603413005' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (603413005)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource.compose.include[0].concept[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '603414004' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (603414004)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource.compose.include[0].concept[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '603415003' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (603415003)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource.compose.include[0].concept[6]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '603416002' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (603416002)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource.compose.include[0].concept[7]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '603417006' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (603417006)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource.compose.include[0].concept[8]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '603418001' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (603418001)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource.compose.include[0].concept[9]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '603419009' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (603419009)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource.compose.include[0].concept[10]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '603420003' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (603420003)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource.compose.include[0].concept[11]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '603421004' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (603421004)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource.compose.include[0].concept[12]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '603422006' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (603422006)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource.compose.include[0].concept[13]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '603423001' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (603423001)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource.compose.include[0].concept[14]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '603424007' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (603424007)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource.compose.include[0].concept[15]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '603425008' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (603425008)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource.compose.include[0].concept[16]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '603426009' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (603426009)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource.compose.include[0].concept[17]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '603427000' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (603427000)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource.compose.include[0].concept[18]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '603428005' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (603428005)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource.compose.include[0].concept[19]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '603429002' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (603429002)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource.compose.include[0].concept[20]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '603430007' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (603430007)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource.compose.include[0].concept[21]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '603431006' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (603431006)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource.compose.include[0].concept[22]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '603432004' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (603432004)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource.compose.include[0].concept[23]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '603433009' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (603433009)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource.compose.include[0].concept[24]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '62944002' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (62944002)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource.compose.include[0].concept[25]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '711331006' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (711331006)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource.compose.include[0].concept[26]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '726592002' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (726592002)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource.compose.include[0].concept[27]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '781245007' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (781245007)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource.compose.include[0].concept[28]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '781276001' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (781276001)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[29].resource.compose.include[0].concept[29]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7718
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 34
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '416397000' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (416397000)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[30].resource.compose.include[0].concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '708244002' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (708244002)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[30].resource.compose.include[0].concept[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '708245001' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (708245001)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[30].resource.compose.include[0].concept[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '712664000' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (712664000)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[30].resource.compose.include[0].concept[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '712666003' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (712666003)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[30].resource.compose.include[0].concept[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '78065002' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (78065002)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[30].resource.compose.include[0].concept[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '782956001' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (782956001)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[30].resource.compose.include[0].concept[6]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '782958000' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (782958000)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[30].resource.compose.include[0].concept[7]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '90272000' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (90272000)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[30].resource.compose.include[0].concept[8]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '928051771000087103' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (928051771000087103)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[30].resource.compose.include[0].concept[9]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '707768008' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (707768008)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[30].resource.compose.include[0].concept[10]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '707769000' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (707769000)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[30].resource.compose.include[0].concept[11]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '712663006' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (712663006)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[30].resource.compose.include[0].concept[12]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '712665004' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (712665004)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[30].resource.compose.include[0].concept[13]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 7923
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 34
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '30949009' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (30949009)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[31].resource.compose.include[0].concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '53233007' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (53233007)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[31].resource.compose.include[0].concept[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '703032005' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (703032005)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[31].resource.compose.include[0].concept[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8029
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 34
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '722545003' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (722545003)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[32].resource.compose.include[0].concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '722546002' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (722546002)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[32].resource.compose.include[0].concept[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8126
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 34
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '772152006' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (772152006)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[33].resource.compose.include[0].concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8214
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 34
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '772150003' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (772150003)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[34].resource.compose.include[0].concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8302
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 34
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '772158005' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (772158005)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[35].resource.compose.include[0].concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8390
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 34
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '772155008' is not valid in the system http://snomed.info/sct version Provisional_2022-01-10 (772155008)"
            },
            "expression": [
              "Bundle/bundle-ersd-specification-example: Bundle.entry[36].resource.compose.include[0].concept[0]"
            ]
          }
        ]
      }
    },
    {
      "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/StructureDefinition-ersd-plandefinition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ersd-plandefinition",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 580189
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "FHIRPATH_COLLECTION_STATUS_PARAMETER"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "epd-1: Parameter 1 is inherently a collection, and so the expression 'supersetOf' may fail, create an error, or return false if there is more than one item in the parameter value (supersetOf(extension('http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-named-eventtype-extension').value.coding.code))"
            },
            "expression": [
              "StructureDefinition/ersd-plandefinition: StructureDefinition.snapshot.element[192].constraint[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1727275
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "FHIRPATH_COLLECTION_STATUS_PARAMETER"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "epd-1: Parameter 1 is inherently a collection, and so the expression 'supersetOf' may fail, create an error, or return false if there is more than one item in the parameter value (supersetOf(extension('http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-named-eventtype-extension').value.coding.code))"
            },
            "expression": [
              "StructureDefinition/ersd-plandefinition: StructureDefinition.snapshot.element[1211].constraint[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/PlanDefinition-plandefinition-ersd-instance-namedEvent-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "PlanDefinition-plandefinition-ersd-instance-namedEvent-example"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-ersd-supplemental-library",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ersd-supplemental-library"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Library-library-ersd-supplemental-library-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Library-library-ersd-supplemental-library-example"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/ValueSet-valueset-pctc-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-valueset-pctc-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-lrtc-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-valueset-lrtc-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-mrtc-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-valueset-mrtc-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-ostc-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-valueset-ostc-example"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Parameters-expansion-parameters-ecr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Parameters-expansion-parameters-ecr"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Immunization-immunization-ecr-pneumo",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Immunization-immunization-ecr-pneumo"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Observation-observation-last-menstrual-period-eve-everywoman",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-last-menstrual-period-eve-everywoman",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/observation-last-menstrual-period-eve-everywoman: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/OperationDefinition-operationdefinition-library-package",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "OperationDefinition-operationdefinition-library-package"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Location-location-ecr-city-football-stadium",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Location-location-ecr-city-football-stadium"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/MedicationAdministration-medicationadministration-eve-everywoman-azithromycin",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-medicationadministration-eve-everywoman-azithromycin"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/MedicationAdministration-medicationadministration-eve-everywoman-naloxone-response",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationAdministration-medicationadministration-eve-everywoman-naloxone-response"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/CodeSystem-codesystem-messageHeader-event",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-codesystem-messageHeader-event"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Observation-observation-rr-summary",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-rr-summary",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/observation-rr-summary: Observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42
              },
              {
                "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_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Observation/observation-rr-summary: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Observation-observation-odh-past-or-present-job-eve-everywoman",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-odh-past-or-present-job-eve-everywoman",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 22
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 27
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/PHOccupationCDCCensus2010' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-odh-past-or-present-job-eve-everywoman: Observation.value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 42
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://terminology.hl7.org/CodeSystem/PHIndustryCDCCensus2010' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-odh-past-or-present-job-eve-everywoman: Observation.component[0].value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/observation-odh-past-or-present-job-eve-everywoman: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Observation-observation-odh-usual-work-eve-everywoman",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-odh-usual-work-eve-everywoman",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 23
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 27
              },
              {
                "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": [
              "Observation/observation-odh-usual-work-eve-everywoman: Observation.value.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 38
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.114222.4.5.315' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-odh-usual-work-eve-everywoman: Observation.component[0].value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/observation-odh-usual-work-eve-everywoman: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/PlanDefinition-plandefinition-us-public-health-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "PlanDefinition-plandefinition-us-public-health-example"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Composition-composition-rr-single-single-html-validation-output",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Composition-composition-rr-single-single-html-validation-output",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 73
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_MARKDOWN_HTML"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The markdown contains content that appears to be an embedded HTML tag starting at '<h'. This will (or SHOULD) be escaped by the presentation layer. The content should be checked to confirm that this is the desired behaviour"
            },
            "expression": [
              "Composition/composition-rr-single-single-html-validation-output: Composition.section[1].extension[0].extension[1].value.ofType(markdown)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 98
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 35
              },
              {
                "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": [
              "Composition/composition-rr-single-single-html-validation-output: Composition.section[2].extension[0].value.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 98
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 35
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.113883.10.20.15.2.5.5|1' because the code system urn:oid:2.16.840.1.114222.4.5.274 was not found"
            },
            "expression": [
              "Composition/composition-rr-single-single-html-validation-output: Composition.section[2].extension[0].value.ofType(CodeableConcept)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Composition-composition-rr-one-cond-one-pha",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Composition-composition-rr-one-cond-one-pha",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 100
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 35
              },
              {
                "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": [
              "Composition/composition-rr-one-cond-one-pha: Composition.section[2].extension[0].value.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 100
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 35
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.113883.10.20.15.2.5.5|1' because the code system urn:oid:2.16.840.1.114222.4.5.274 was not found"
            },
            "expression": [
              "Composition/composition-rr-one-cond-one-pha: Composition.section[2].extension[0].value.ofType(CodeableConcept)"
            ]
          }
        ]
      }
    },
    {
      "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": 116
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 47
              },
              {
                "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": 116
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 47
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.113883.10.20.15.2.5.5|1' because the code system urn:oid:2.16.840.1.114222.4.5.274 was not found"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[0].resource.section[2].extension[0].value.ofType(CodeableConcept)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 116
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 47
              },
              {
                "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/*Composition/composition-rr-one-cond-one-pha*/.section[2].extension[0].value.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 116
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 47
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.113883.10.20.15.2.5.5|1' because the code system urn:oid:2.16.840.1.114222.4.5.274 was not found"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[0].resource/*Composition/composition-rr-one-cond-one-pha*/.section[2].extension[0].value.ofType(CodeableConcept)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 213
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19
              },
              {
                "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[1].resource/*Observation/observation-rr-relevant-reportable-condition-observation*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 213
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[1].resource/*Observation/observation-rr-relevant-reportable-condition-observation*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 213
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19
              },
              {
                "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_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[1].resource/*Observation/observation-rr-relevant-reportable-condition-observation*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 376
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19
              },
              {
                "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[4].resource/*Observation/observation-rr-summary*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 376
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[4].resource/*Observation/observation-rr-summary*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 376
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19
              },
              {
                "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_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[4].resource/*Observation/observation-rr-summary*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 588
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19
              },
              {
                "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[7].resource/*Observation/observation-rr-reportability-information-observation*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 588
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19
              },
              {
                "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_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/bundle-rr-document-one-cond-one-pha: Bundle.entry[7].resource/*Observation/observation-rr-reportability-information-observation*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 598
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 43
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
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            "code": "code-invalid",
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              "text": "Unable to check whether the code is in the value set 'http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.113883.10.20.15.2.5.4|1' because the code system urn:oid:2.16.840.1.114222.4.5.274 was not found"
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            "details": {
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            "details": {
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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"
            },
            "expression": [
              "DocumentReference/documentreference-zika-info-pdf: DocumentReference.extension[0].value.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.113883.10.20.15.2.5.5|1' because the code system urn:oid:2.16.840.1.114222.4.5.274 was not found"
            },
            "expression": [
              "DocumentReference/documentreference-zika-info-pdf: DocumentReference.extension[0].value.ofType(CodeableConcept)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 25
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15
              },
              {
                "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": [
              "DocumentReference/documentreference-zika-info-pdf: DocumentReference.category[0].coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 25
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.113883.10.20.15.2.5.4|1' because the code system urn:oid:2.16.840.1.114222.4.5.274 was not found"
            },
            "expression": [
              "DocumentReference/documentreference-zika-info-pdf: DocumentReference.category[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/DocumentReference-documentreference-add-reporting-needs-pdf",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "DocumentReference-documentreference-add-reporting-needs-pdf",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "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": [
              "DocumentReference/documentreference-add-reporting-needs-pdf: DocumentReference.extension[0].value.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.113883.10.20.15.2.5.5|1' because the code system urn:oid:2.16.840.1.114222.4.5.274 was not found"
            },
            "expression": [
              "DocumentReference/documentreference-add-reporting-needs-pdf: DocumentReference.extension[0].value.ofType(CodeableConcept)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 25
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15
              },
              {
                "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": [
              "DocumentReference/documentreference-add-reporting-needs-pdf: DocumentReference.category[0].coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 25
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.113883.10.20.15.2.5.4|1' because the code system urn:oid:2.16.840.1.114222.4.5.274 was not found"
            },
            "expression": [
              "DocumentReference/documentreference-add-reporting-needs-pdf: DocumentReference.category[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Observation-observation-rr-eicr-processing-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-rr-eicr-processing-status",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.114222.4.5.274' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-rr-eicr-processing-status: Observation.code.coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.113883.10.20.15.2.5.8|1' because the code system urn:oid:2.16.840.1.114222.4.5.274 was not found"
            },
            "expression": [
              "Observation/observation-rr-eicr-processing-status: Observation.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42
              },
              {
                "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": [
              "Observation/observation-rr-eicr-processing-status: Observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/observation-rr-eicr-processing-status: Observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42
              },
              {
                "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_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Observation/observation-rr-eicr-processing-status: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Observation-observation-rr-eicr-processing-status-reason",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-rr-eicr-processing-status-reason",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.114222.4.5.232' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Observation/observation-rr-eicr-processing-status-reason: Observation.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 15
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 27
              },
              {
                "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": [
              "Observation/observation-rr-eicr-processing-status-reason: Observation.value.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 15
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 27
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.113883.10.20.15.2.5.7|1' because the code system urn:oid:2.16.840.1.114222.4.5.274 was not found"
            },
            "expression": [
              "Observation/observation-rr-eicr-processing-status-reason: Observation.value.ofType(CodeableConcept)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 23
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15
              },
              {
                "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": [
              "Observation/observation-rr-eicr-processing-status-reason: Observation.component[0].code.coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 23
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.113883.10.20.15.2.5.10|1' because the code system urn:oid:2.16.840.1.114222.4.5.274 was not found"
            },
            "expression": [
              "Observation/observation-rr-eicr-processing-status-reason: Observation.component[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42
              },
              {
                "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": [
              "Observation/observation-rr-eicr-processing-status-reason: Observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/observation-rr-eicr-processing-status-reason: Observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42
              },
              {
                "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_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Observation/observation-rr-eicr-processing-status-reason: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-rr-eicr-receipt-time-extension",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-rr-eicr-receipt-time-extension"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-rr-external-resource-extension",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-rr-external-resource-extension"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-rr-priority-extension",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-rr-priority-extension"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Observation-observation-rr-relevant-reportable-condition-observation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-rr-relevant-reportable-condition-observation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/observation-rr-relevant-reportable-condition-observation: Observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42
              },
              {
                "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_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Observation/observation-rr-relevant-reportable-condition-observation: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Organization-organization-rr-responsible-agency-haw",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Organization-organization-rr-responsible-agency-haw",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.114222.4.5.232' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Organization/organization-rr-responsible-agency-haw: Organization.type[0].coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Observation-observation-rr-reportability-information-observation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-rr-reportability-information-observation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "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": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
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            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.113883.10.20.15.2.5.3|1' because the code system urn:oid:2.16.840.1.114222.4.5.274 was not found"
            },
            "expression": [
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          },
          {
            "extension": [
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "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": [
              "Observation/observation-rr-reportability-information-observation: Observation.code.coding[0]"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unable to check whether the code is in the value set 'http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.113883.10.20.15.2.5.6|1' because the code system urn:oid:2.16.840.1.114222.4.5.274 was not found"
            },
            "expression": [
              "Observation/observation-rr-reportability-information-observation: Observation.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 62
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15
              },
              {
                "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": [
              "Observation/observation-rr-reportability-information-observation: Observation.component[0].code.coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42
              },
              {
                "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_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Observation/observation-rr-reportability-information-observation: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Organization-organization-rr-routing-entity-haw",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Organization-organization-rr-routing-entity-haw",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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            ],
            "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": [
              "Organization/organization-rr-routing-entity-haw: Organization.type[0].coding[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Organization-organization-rr-rules-authoring-agency-haw",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Organization-organization-rr-rules-authoring-agency-haw",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:2.16.840.1.114222.4.5.232' could not be found, so the code cannot be validated"
            },
            "expression": [
              "Organization/organization-rr-rules-authoring-agency-haw: Organization.type[0].coding[0]"
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Library-RuleFilters",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Library-RuleFilters"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Subscription-subscription-dxtc",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Subscription-subscription-dxtc"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Subscription-subscription-lotc",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Subscription-subscription-lotc"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Subscription-subscription-ostc",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Subscription-subscription-ostc"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-therapeutic-medication-response-extension",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-therapeutic-medication-response-extension"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Observation-observation-travel-history-eve-everywoman-1999",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-travel-history-eve-everywoman-1999",
        "issue": [
          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
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            "expression": [
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          }
        ]
      }
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
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            },
            "expression": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Observation-observation-travel-history-eve-everywoman-201801",
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        "resourceType": "OperationOutcome",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
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            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'urn:oid:1.0.3166.1' could not be found, so the code cannot be validated"
            },
            "expression": [
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          },
          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
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          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Practitioner-practitioner-us-core-henry-seven",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Practitioner-practitioner-us-core-henry-seven"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Observation-observation-us-ph-lab-result-eve-everywoman-lymphocytes",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-us-ph-lab-result-eve-everywoman-lymphocytes",
        "issue": [
          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
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          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Observation-observation-us-ph-lab-result-eve-everywoman-pertussis",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-us-ph-lab-result-eve-everywoman-pertussis",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
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            "expression": [
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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/Encounter-encounter-eicr-eve-everywoman-completed-inpatient",
      "resource": {
        "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"
      }
    },
    {
      "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"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Encounter-encounter-eicr-eve-everywoman-outpatient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Encounter-encounter-eicr-eve-everywoman-outpatient"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Location-location-ecr-salem-medical-center",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Location-location-ecr-salem-medical-center"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Organization-organization-ecr-acme-laboratory",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Organization-organization-ecr-acme-laboratory"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Organization-organization-ecr-health-authority-west",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Organization-organization-ecr-health-authority-west"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Organization-organization-ecr-salem-medical-center",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Organization-organization-ecr-salem-medical-center"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Organization-organization-ecr-ymca-center",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Organization-organization-ecr-ymca-center"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Patient-patient-ecr-eve-everywoman",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Patient-patient-ecr-eve-everywoman"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/PractitionerRole-practitionerrole-henry-seven",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "PractitionerRole-practitionerrole-henry-seven"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-address-extension",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-address-extension"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-alternative-expression-extension",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-alternative-expression-extension"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-characteristics-of-home-environment",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-characteristics-of-home-environment"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-codesystem",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-codesystem"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-codesystem-property-binding-extension",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-codesystem-property-binding-extension"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-composition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-composition",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this profile"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-composition')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-computable-library",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-computable-library"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-computable-valueset",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-computable-valueset"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-condition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-condition"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-content-bundle",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-content-bundle",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this profile"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-content-bundle')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-data-encrypted-extension",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-data-encrypted-extension"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-date-determined-extension",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-date-determined-extension"
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-date-recorded-extension",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-date-recorded-extension"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-determination-of-reportability-extension",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-determination-of-reportability-extension"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-determination-of-reportability-reason-extension",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-determination-of-reportability-reason-extension"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-determination-of-reportability-rule-extension",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-determination-of-reportability-rule-extension"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-disability-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-disability-status"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-document-bundle",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-document-bundle",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this profile"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-document-bundle')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-emergency-outbreak-information",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-emergency-outbreak-information"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Observation-observation-us-ph-emergency-outbreak-info-eve-everywoman",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-us-ph-emergency-outbreak-info-eve-everywoman",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/observation-us-ph-emergency-outbreak-info-eve-everywoman: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-encounter",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-encounter"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-endpoint",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-endpoint"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-executable-library",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-executable-library"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-executable-valueset",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-executable-valueset"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-expansion-parameters-extension",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-expansion-parameters-extension"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-exposure-contact-information",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-exposure-contact-information"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Observation-observation-us-ph-exposure-contact-info-football-game",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-us-ph-exposure-contact-info-football-game",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "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": [
              "Observation/observation-us-ph-exposure-contact-info-football-game: Observation.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/observation-us-ph-exposure-contact-info-football-game: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-information-recipient-extension",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-information-recipient-extension"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-initiation-reason-extension",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-initiation-reason-extension"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-location",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-location"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-message-processing-category-extension",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-message-processing-category-extension"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/ValueSet-us-ph-message-significance-category",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-us-ph-message-significance-category"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/CodeSystem-us-ph-message-types-codesystem",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-us-ph-message-types-codesystem"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/ValueSet-us-ph-message-types-valueset",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-us-ph-message-types-valueset"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-messageheader",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-messageheader"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-named-eventtype-extension",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-named-eventtype-extension"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-organization",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-organization"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-patient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-patient"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-plandefinition",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-plandefinition"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/ValueSet-us-ph-plandefinition-action",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-us-ph-plandefinition-action"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/CodeSystem-us-ph-plandefinition-actions",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-us-ph-plandefinition-actions"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/ValueSet-us-ph-valueset-priority",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-us-ph-valueset-priority"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-postpartum-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-postpartum-status"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Observation-observation-postpartum-status-eve-everywoman",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-postpartum-status-eve-everywoman",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/observation-postpartum-status-eve-everywoman: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-practitionerrole",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-practitionerrole"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-pregnancy-outcome-observation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-pregnancy-outcome-observation"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Observation-observation-pregnancy-outcome-eve-everywoman",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-pregnancy-outcome-eve-everywoman",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/observation-pregnancy-outcome-eve-everywoman: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/ValueSet-us-ph-pregnancy-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-us-ph-pregnancy-status"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-pregnancy-status-observation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-pregnancy-status-observation"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Observation-observation-pregnancy-status-eve-everywoman",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-pregnancy-status-eve-everywoman",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/observation-pregnancy-status-eve-everywoman: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-receiver-address-extension",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-receiver-address-extension"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-relateddata-extension",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-relateddata-extension"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-reporting-bundle",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-reporting-bundle"
      }
    },
    {
      "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": 2311
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "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": 2389
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "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": 2423
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "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": 2450
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "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": 2654
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "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": 2736
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management' (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": 2736
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "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": 2807
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "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": 2860
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "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": 2939
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "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": 2967
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "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": 80
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management' (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": 1989
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management' (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": 2043
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management' (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": 2082
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management' (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": 2143
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management' (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": 2187
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management' (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": 2224
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management' (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": 2311
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[7].resource/*Observation/observation-pregnancy-status-eve-everywoman*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2311
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management' (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": 2389
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[8].resource/*Observation/observation-vaccine-credential-assertion-eve-everywoman*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2389
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management' (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": 2423
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[9].resource/*Observation/observation-us-ph-emergency-outbreak-info-eve-everywoman*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2423
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management' (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": 2450
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[10].resource/*Observation/observation-country-of-nationality-eve-everywoman*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2450
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management' (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": 2626
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management' (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": 2654
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[13].resource/*Observation/observation-country-of-residence-eve-everywoman*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2654
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management' (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": 2688
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management' (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": 2736
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[15].resource/*Observation/observation-blood-pressure-eve-everywoman*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2807
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "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*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2827
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 35
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "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": 2807
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management' (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": 2827
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 35
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "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.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2860
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[17].resource/*Observation/observation-travel-history-eve-everywoman-201801*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2910
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 55
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "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[1].value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2860
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management' (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": 2910
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 55
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "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.component[1].value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2939
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[18].resource/*Observation/observation-disability-status-eve-everywoman*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2939
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management' (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": 2967
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource/*Bundle/bundle-eicr-document-zika*/.entry[19].resource/*Observation/observation-us-ph-lab-result-eve-everywoman-lymphocytes*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2967
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management' (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": 3023
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management' (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": 3064
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management' (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/*Location/location-ecr-salem-medical-center*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3113
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management' (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-city-football-stadium*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3143
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management' (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/*Organization/organization-ecr-salem-medical-center*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3177
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management' (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/*Condition/condition-eicr-eve-everywoman-zika*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 3213
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: dom-6: 'A resource should have narrative for robust management' (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/*Practitioner/practitioner-us-core-henry-seven*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2311
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource.entry[7].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2389
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource.entry[8].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2423
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource.entry[9].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2450
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource.entry[10].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2654
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource.entry[13].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2736
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource.entry[15].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2807
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource.entry[16].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2860
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource.entry[17].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2939
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource.entry[18].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2967
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/bundle-ecr-message-zika: Bundle.entry[1].resource.entry[19].resource"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-specification-library",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-specification-library"
      }
    },
    {
      "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"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-supplemental-library",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-supplemental-library"
      }
    },
    {
      "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"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-supplemental-valueset",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-supplemental-valueset"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/ValueSet-valueset-us-ph-supplemental-valueset-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-valueset-us-ph-supplemental-valueset-example"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/ValueSet-us-ph-computable-valueset-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-us-ph-computable-valueset-example"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/ValueSet-us-ph-valueset-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-us-ph-valueset-example"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-supplemental-valueset-library",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-supplemental-valueset-library"
      }
    },
    {
      "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"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-transportation-details",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-transportation-details"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Observation-observation-us-ph-transportation-details-eve-everywoman",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-us-ph-transportation-details-eve-everywoman",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/observation-us-ph-transportation-details-eve-everywoman: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-travel-history",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-travel-history"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-tribal-affiliation-extension",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-tribal-affiliation-extension"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/CodeSystem-us-ph-triggerdefinition-namedevents",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-us-ph-triggerdefinition-namedevents"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/ValueSet-us-ph-triggerdefinition-namedevent",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-us-ph-triggerdefinition-namedevent"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-triggering-valueset",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-triggering-valueset"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-triggering-valueset-library",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-triggering-valueset-library"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/CodeSystem-us-ph-usage-context",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-us-ph-usage-context"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/CodeSystem-us-ph-usage-context-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-us-ph-usage-context-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-usagewarning-extension",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-usagewarning-extension"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-valueset",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-valueset"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-valueset-library",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-valueset-library"
      }
    },
    {
      "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"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Library-library-us-ph-valueset-library-expansion-parameters-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Library-library-us-ph-valueset-library-expansion-parameters-example"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Library-library-rctc-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Library-library-rctc-example"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/PlanDefinition-plandefinition-ersd-instance-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "PlanDefinition-plandefinition-ersd-instance-example"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Library-library-ersd-specification-library-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Library-library-ersd-specification-library-example"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/PlanDefinition-plandefinition-ersd-instance-simple-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "PlanDefinition-plandefinition-ersd-instance-simple-example"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-fhirquerypattern-extension",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-fhirquerypattern-extension"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/Observation-observation-odh-employment-status-ecr-eve-everywoman",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-odh-employment-status-ecr-eve-everywoman",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/observation-odh-employment-status-ecr-eve-everywoman: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-medicationadministration",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-medicationadministration"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-genderidentity-extension",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-genderidentity-extension"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/ecr/OperationOutcome/StructureDefinition-us-ph-lab-result-observation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-us-ph-lab-result-observation"
      }
    }
  ]
}