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

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Narrative

No narrative content found in resource


Source1

{
  "resourceType": "Bundle",
  "type": "collection",
  "timestamp": "2024-11-05T07:57:01.151+00:00",
  "entry": [
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/ImplementationGuide-hl7.fhir.us.pacio-cs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ImplementationGuide-hl7.fhir.us.pacio-cs",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 41838
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_WG_NEEDED"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "When HL7 is publishing a resource, the owning committee must be stated using the http://hl7.org/fhir/StructureDefinition/structuredefinition-wg extension"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.us.pacio-cs: ImplementationGuide"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/CodeSystem-pacio-cat-cs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-pacio-cat-cs",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3006
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_WG_NEEDED"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "When HL7 is publishing a resource, the owning committee must be stated using the http://hl7.org/fhir/StructureDefinition/structuredefinition-wg extension"
            },
            "expression": [
              "CodeSystem/pacio-cat-cs: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/pacio-cat-cs: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3006
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.experimental is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/pacio-cat-cs: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3006
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/pacio-cat-cs: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Device-CMS-Device-1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Device-CMS-Device-1"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Device-CMS-Device-2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Device-CMS-Device-2"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/DeviceUseStatement-CSC-SNF-BIMS-1-UseOfDevice-1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "DeviceUseStatement-CSC-SNF-BIMS-1-UseOfDevice-1"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/DeviceUseStatement-CSC-SNF-BIMS-1-UseOfDevice-2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "DeviceUseStatement-CSC-SNF-BIMS-1-UseOfDevice-2"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Location-Org-Loc-01",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Location-Org-Loc-01"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Location-Org-Loc-02",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Location-Org-Loc-02"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Location-Org-Loc-03",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Location-Org-Loc-03"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Location-provider-org-loc-01",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Location-provider-org-loc-01"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Location-provider-org-loc-16",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Location-provider-org-loc-16"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Observation-BSJ-Narrative-History-Cognitive-Status-1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-BSJ-Narrative-History-Cognitive-Status-1",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 38
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Independent - Patient completed the activities by him/herself, with or without an assistive device, with no assistance from a helper.' for http://loinc.org#LA11539-6. There are no valid display names found for language(s) 'en'. Default display is 'Independent - Patient completed all the activities by themself, with or without an assistive device, with no assistance from a helper.'"
            },
            "expression": [
              "Observation/BSJ-Narrative-History-Cognitive-Status-1: Observation.extension[1].value.ofType(CodeableConcept).coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Observation-CSC-Hospital-MMSE-1-Ob-Question-31",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-CSC-Hospital-MMSE-1-Ob-Question-31",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 51
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_QTY_UCUM_ANNOTATIONS_NO_UNIT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "UCUM Codes that contain human readable annotations like {score} can be misleading (e.g. they are ignored when comparing units). Best Practice is not to depend on annotations in the UCUM code, so this usage should be checked, and the Quantity.unit SHOULD contain the annotation"
            },
            "expression": [
              "Observation/CSC-Hospital-MMSE-1-Ob-Question-31: Observation.value.ofType(Quantity)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Observation-CSC-Hospital-MMSE-1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-CSC-Hospital-MMSE-1"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Observation-CSC-Hospital-MOCA-1-Ob-Question-1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-CSC-Hospital-MOCA-1-Ob-Question-1",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 50
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_QTY_UCUM_ANNOTATIONS_NO_UNIT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "UCUM Codes that contain human readable annotations like {score} can be misleading (e.g. they are ignored when comparing units). Best Practice is not to depend on annotations in the UCUM code, so this usage should be checked, and the Quantity.unit SHOULD contain the annotation"
            },
            "expression": [
              "Observation/CSC-Hospital-MOCA-1-Ob-Question-1: Observation.value.ofType(Quantity)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Observation-CSC-Hospital-MOCA-1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-CSC-Hospital-MOCA-1"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Observation-CSC-SNF-BIMS-1-Ob-Question-10",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-CSC-SNF-BIMS-1-Ob-Question-10",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 51
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_QTY_UCUM_ANNOTATIONS_NO_UNIT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "UCUM Codes that contain human readable annotations like {score} can be misleading (e.g. they are ignored when comparing units). Best Practice is not to depend on annotations in the UCUM code, so this usage should be checked, and the Quantity.unit SHOULD contain the annotation"
            },
            "expression": [
              "Observation/CSC-SNF-BIMS-1-Ob-Question-10: Observation.value.ofType(Quantity)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Observation-CSC-SNF-BIMS-1-Ob-Question-3",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-CSC-SNF-BIMS-1-Ob-Question-3"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Observation-CSC-SNF-BIMS-1-Ob-Question-4",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-CSC-SNF-BIMS-1-Ob-Question-4"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Observation-CSC-SNF-BIMS-1-Ob-Question-5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-CSC-SNF-BIMS-1-Ob-Question-5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Observation-CSC-SNF-BIMS-1-Ob-Question-6",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-CSC-SNF-BIMS-1-Ob-Question-6"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Observation-CSC-SNF-BIMS-1-Ob-Question-7",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-CSC-SNF-BIMS-1-Ob-Question-7",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 51
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Yes, after cueing (\"something to wear\")' for http://loinc.org#LA10126-3. There are no valid display names found for language(s) 'en'. Default display is ')'"
            },
            "expression": [
              "Observation/CSC-SNF-BIMS-1-Ob-Question-7: Observation.value.ofType(CodeableConcept).coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Observation-CSC-SNF-BIMS-1-Ob-Question-8",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-CSC-SNF-BIMS-1-Ob-Question-8",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 51
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Yes, after cueing (\"a color\")' for http://loinc.org#LA10978-7. There are no valid display names found for language(s) 'en'. Default display is ')'"
            },
            "expression": [
              "Observation/CSC-SNF-BIMS-1-Ob-Question-8: Observation.value.ofType(CodeableConcept).coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Observation-CSC-SNF-BIMS-1-Ob-Question-9",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-CSC-SNF-BIMS-1-Ob-Question-9",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 51
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Yes, after cueing (\"a piece of furniture\")' for http://loinc.org#LA10125-5. There are no valid display names found for language(s) 'en'. Default display is ')'"
            },
            "expression": [
              "Observation/CSC-SNF-BIMS-1-Ob-Question-9: Observation.value.ofType(CodeableConcept).coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Observation-CSC-SNF-BIMS-1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-CSC-SNF-BIMS-1"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Observation-CSC-SNF-CAM-Admission-1-Ob-Question-1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-CSC-SNF-CAM-Admission-1-Ob-Question-1"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Observation-CSC-SNF-CAM-Admission-1-Ob-Question-3",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-CSC-SNF-CAM-Admission-1-Ob-Question-3"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Observation-CSC-SNF-CAM-Admission-1-Ob-Question-5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-CSC-SNF-CAM-Admission-1-Ob-Question-5"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Observation-CSC-SNF-CAM-Admission-1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-CSC-SNF-CAM-Admission-1",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 42
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'MDS v3.0 - RAI v1.17.2 - Signs and symptoms of delirium (from CAM) [CMS Assessment]' for http://loinc.org#86585-7. There are no valid display names found for language(s) 'en'. Default display is 'MDS v3.0 - RAI v1.17.2, OASIS E - Signs and symptoms of delirium (from CAM) during assessment period [CMS Assessment]'"
            },
            "expression": [
              "Observation/CSC-SNF-CAM-Admission-1: Observation.code.coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Observation-CSC-SNF-PHQ9-1-Ob-Question-11",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-CSC-SNF-PHQ9-1-Ob-Question-11"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Observation-CSC-SNF-PHQ9-1-Ob-Question-12",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-CSC-SNF-PHQ9-1-Ob-Question-12"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Observation-CSC-SNF-PHQ9-1-Ob-Question-13",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-CSC-SNF-PHQ9-1-Ob-Question-13"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Observation-CSC-SNF-PHQ9-1-Ob-Question-14",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-CSC-SNF-PHQ9-1-Ob-Question-14"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Observation-CSC-SNF-PHQ9-1-Ob-Question-15",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-CSC-SNF-PHQ9-1-Ob-Question-15"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Observation-CSC-SNF-PHQ9-1-Ob-Question-16",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-CSC-SNF-PHQ9-1-Ob-Question-16"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Observation-CSC-SNF-PHQ9-1-Ob-Question-17",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-CSC-SNF-PHQ9-1-Ob-Question-17"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Observation-CSC-SNF-PHQ9-1-Ob-Question-18",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-CSC-SNF-PHQ9-1-Ob-Question-18"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Observation-CSC-SNF-PHQ9-1-Ob-Question-19",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-CSC-SNF-PHQ9-1-Ob-Question-19"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Observation-CSC-SNF-PHQ9-1-Ob-Question-20",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-CSC-SNF-PHQ9-1-Ob-Question-20"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Observation-CSC-SNF-PHQ9-1-Ob-Question-21",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-CSC-SNF-PHQ9-1-Ob-Question-21"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Observation-CSC-SNF-PHQ9-1-Ob-Question-22",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-CSC-SNF-PHQ9-1-Ob-Question-22"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Observation-CSC-SNF-PHQ9-1-Ob-Question-23",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-CSC-SNF-PHQ9-1-Ob-Question-23"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Observation-CSC-SNF-PHQ9-1-Ob-Question-24",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-CSC-SNF-PHQ9-1-Ob-Question-24"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Observation-CSC-SNF-PHQ9-1-Ob-Question-25",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-CSC-SNF-PHQ9-1-Ob-Question-25"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Observation-CSC-SNF-PHQ9-1-Ob-Question-26",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-CSC-SNF-PHQ9-1-Ob-Question-26"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Observation-CSC-SNF-PHQ9-1-Ob-Question-27",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-CSC-SNF-PHQ9-1-Ob-Question-27"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Observation-CSC-SNF-PHQ9-1-Ob-Question-28",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-CSC-SNF-PHQ9-1-Ob-Question-28"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Observation-CSC-SNF-PHQ9-1-Ob-Question-29",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-CSC-SNF-PHQ9-1-Ob-Question-29",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 51
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_QTY_UCUM_ANNOTATIONS_NO_UNIT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "UCUM Codes that contain human readable annotations like {score} can be misleading (e.g. they are ignored when comparing units). Best Practice is not to depend on annotations in the UCUM code, so this usage should be checked, and the Quantity.unit SHOULD contain the annotation"
            },
            "expression": [
              "Observation/CSC-SNF-PHQ9-1-Ob-Question-29: Observation.value.ofType(Quantity)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Observation-CSC-SNF-PHQ9-1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-CSC-SNF-PHQ9-1"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Organization-Org-01",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Organization-Org-01"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Organization-Org-02",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Organization-Org-02"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Organization-Org-03",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Organization-Org-03"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Organization-provider-org-01",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Organization-provider-org-01"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Organization-provider-org-16",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Organization-provider-org-16"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Patient-patientBSJ1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Patient-patientBSJ1"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Practitioner-Practitioner-HoneyJones",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Practitioner-Practitioner-HoneyJones"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Practitioner-Practitioner-JennyGlass",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Practitioner-Practitioner-JennyGlass"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Practitioner-Practitioner-JohnSmith",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Practitioner-Practitioner-JohnSmith"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Practitioner-Practitioner-LunaBaskins",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Practitioner-Practitioner-LunaBaskins"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/Practitioner-Practitioner-NoraOlogist",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Practitioner-Practitioner-NoraOlogist"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/PractitionerRole-Role-SLP-HoneyJones",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "PractitionerRole-Role-SLP-HoneyJones"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/PractitionerRole-Role-SLP-JennyGlass",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "PractitionerRole-Role-SLP-JennyGlass"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/PractitionerRole-Role-SLP-LunaBaskins",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "PractitionerRole-Role-SLP-LunaBaskins"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/PractitionerRole-provider-role-neurologist",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "PractitionerRole-provider-role-neurologist"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/PractitionerRole-provider-role-pcp",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "PractitionerRole-provider-role-pcp"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/QuestionnaireResponse-QResponse-Hospital-MMSE-1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "QuestionnaireResponse-QResponse-Hospital-MMSE-1"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/QuestionnaireResponse-QResponse-Hospital-MOCA-1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "QuestionnaireResponse-QResponse-Hospital-MOCA-1"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/QuestionnaireResponse-QResponse-SNF-BIMS-1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "QuestionnaireResponse-QResponse-SNF-BIMS-1"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/QuestionnaireResponse-QResponse-SNF-CAM-Admission-1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "QuestionnaireResponse-QResponse-SNF-CAM-Admission-1"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/QuestionnaireResponse-QResponse-SNF-PHQ9-1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "QuestionnaireResponse-QResponse-SNF-PHQ9-1"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/StructureDefinition-assistance-required",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-assistance-required",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18490
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_WG_NEEDED"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "When HL7 is publishing a resource, the owning committee must be stated using the http://hl7.org/fhir/StructureDefinition/structuredefinition-wg extension"
            },
            "expression": [
              "StructureDefinition/assistance-required: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "Review the extension type for assistance-required: extensions should not have a context of Element unless it's really intended that they can be used anywhere"
            },
            "expression": [
              "StructureDefinition/assistance-required: StructureDefinition.context[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/StructureDefinition-device-patient-used",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-device-patient-used",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18120
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_WG_NEEDED"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "When HL7 is publishing a resource, the owning committee must be stated using the http://hl7.org/fhir/StructureDefinition/structuredefinition-wg extension"
            },
            "expression": [
              "StructureDefinition/device-patient-used: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "Review the extension type for device-patient-used: extensions should not have a context of Element unless it's really intended that they can be used anywhere"
            },
            "expression": [
              "StructureDefinition/device-patient-used: StructureDefinition.context[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/StructureDefinition-event-location",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-event-location",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 13449
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_WG_NEEDED"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "When HL7 is publishing a resource, the owning committee must be stated using the http://hl7.org/fhir/StructureDefinition/structuredefinition-wg extension"
            },
            "expression": [
              "StructureDefinition/event-location: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/StructureDefinition-pacio-cs-dev",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-pacio-cs-dev",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 41125
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_WG_NEEDED"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "When HL7 is publishing a resource, the owning committee must be stated using the http://hl7.org/fhir/StructureDefinition/structuredefinition-wg extension"
            },
            "expression": [
              "StructureDefinition/pacio-cs-dev: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/StructureDefinition-pacio-cs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-pacio-cs",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 151325
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_WG_NEEDED"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "When HL7 is publishing a resource, the owning committee must be stated using the http://hl7.org/fhir/StructureDefinition/structuredefinition-wg extension"
            },
            "expression": [
              "StructureDefinition/pacio-cs: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/StructureDefinition-pacio-csc",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-pacio-csc",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 164322
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_WG_NEEDED"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "When HL7 is publishing a resource, the owning committee must be stated using the http://hl7.org/fhir/StructureDefinition/structuredefinition-wg extension"
            },
            "expression": [
              "StructureDefinition/pacio-csc: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/StructureDefinition-pacio-nhcs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-pacio-nhcs",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 164972
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_WG_NEEDED"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "When HL7 is publishing a resource, the owning committee must be stated using the http://hl7.org/fhir/StructureDefinition/structuredefinition-wg extension"
            },
            "expression": [
              "StructureDefinition/pacio-nhcs: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/ValueSet-pacio-cat-vs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-pacio-cat-vs",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1679
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_WG_NEEDED"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "When HL7 is publishing a resource, the owning committee must be stated using the http://hl7.org/fhir/StructureDefinition/structuredefinition-wg extension"
            },
            "expression": [
              "ValueSet/pacio-cat-vs: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1679
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Value sets published by HL7 SHALL conform to the ShareableValueSet profile, which says that the element ValueSet.experimental is mandatory, but it is not present"
            },
            "expression": [
              "ValueSet/pacio-cat-vs: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/pacio-cs/OperationOutcome/CapabilityStatement-pacio-cs-cap",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CapabilityStatement-pacio-cs-cap",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/us/pacio-cs/CapabilityStatement/pacio-cs-cap vs https://build.fhir.org/ig/HL7/fhir-pacio-cognitive-status/CapabilityStatement-pacio-cs-cap.html"
            },
            "expression": [
              "/scratch/repo/input/resources/CapabilityStatement-pacio-cs-cap"
            ]
          }
        ]
      }
    }
  ]
}