FHIR © HL7.org  |  FHIRsmith 4.0.1  |  Server Home  |  XIG Home  |  XIG Stats  | 

FHIR IG analytics

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

Resources that use this resource

No resources found


Resources that this resource uses

No resources found


Narrative

No narrative content found in resource


Source1

{
  "resourceType": "Bundle",
  "type": "collection",
  "timestamp": "2026-09-11T00:19:41.722+00:00",
  "entry": [
    {
      "fullUrl": "http://hl7.org/fhir/us/uscdi-scd/OperationOutcome/ImplementationGuide-hl7.fhir.us.uscdi-scd",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ImplementationGuide-hl7.fhir.us.uscdi-scd",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3034
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/ImplementationGuide|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'https://fhir.org/packages/us.nlm.vsac/ImplementationGuide/us.nlm.vsac'"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.us.uscdi-scd: ImplementationGuide.dependsOn[3].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 62969
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/ImplementationGuide|4.0.1"
              }
            ],
            "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.uscdi-scd: ImplementationGuide"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2761
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "IG_DEPENDENCY_VERSION_WARNING_OLD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The ImplementationGuide uses package hl7.fhir.us.core#8.0.1 released on 2025-12-10, but the most recent appropriate version is 9.0.0. This reference is getting old and the more recent version should be considered"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.us.uscdi-scd: ImplementationGuide.dependsOn[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2936
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "IG_DEPENDENCY_VERSION_WARNING_OLD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The ImplementationGuide uses package hl7.fhir.uv.extensions.r4#5.1.0 released on 2024-04-27, but the most recent appropriate version is 5.3.0. This reference is getting old and the more recent version should be considered"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.us.uscdi-scd: ImplementationGuide.dependsOn[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3080
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "IG_DEPENDENCY_INVALID_URL"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The canonical URL https://fhir.org/packages/us.nlm.vsac/ImplementationGuide/us.nlm.vsac doesn't point to an actual ImplementationGuide resource"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.us.uscdi-scd: ImplementationGuide.dependsOn[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3080
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "IG_DEPENDENCY_CLASH_CANONICAL"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The packageId us.nlm.vsac points to the canonical http://fhir.org/packages/us.nlm.vsac which is inconsistent with the stated canonical of https://fhir.org/packages/us.nlm.vsac/ImplementationGuide/us.nlm.vsac"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.us.uscdi-scd: ImplementationGuide.dependsOn[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 62969
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "IG_HL7_STANDARDS_STATUS_REQUIRED"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "HL7 Implementation Guides must state their status explicitly using the extension http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.us.uscdi-scd: ImplementationGuide"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 62969
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "IG_HL7_WG_REQUIRED"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "HL7 Implementation Guides must state their owning workgroup explicitly using the extension http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.us.uscdi-scd: ImplementationGuide"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 62969
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "IG_HL7_FMM_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Implementation Guides should state their maturity explicitly using the extension http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.us.uscdi-scd: ImplementationGuide"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/uscdi-scd/OperationOutcome/AllergyIntolerance-maya-johnson-nsaid-allergy",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "AllergyIntolerance-maya-johnson-nsaid-allergy",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 34
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/us/uscdi-scd/StructureDefinition/uscdi-scd-allergyintolerance|0.1.0"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code '68381005' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/731000124108/version/20250901' (US Edition)"
            },
            "expression": [
              "AllergyIntolerance/maya-johnson-nsaid-allergy: AllergyIntolerance.reaction[0].manifestation[0].coding[0].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/uscdi-scd/OperationOutcome/BiologicallyDerivedProduct-prbcs-antigen-matched-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "BiologicallyDerivedProduct-prbcs-antigen-matched-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 14
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/us/uscdi-scd/StructureDefinition/uscdi-scd-biologicallyderivedproduct|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'C antigen (Rh2) (substance)' for http://snomed.info/sct#16951006. Valid display is one of 6 choices: 'Antigen in Rh blood group system' (en), 'Blood group antigen Rhesus, NOS' (en), 'Blood group antigen Rh' (en), 'Rh system antigen' (en), 'Rhesus system antigen' (en) or 'Antigen in Rh blood group system (substance)' (en) (for the language(s) 'en')"
            },
            "expression": [
              "BiologicallyDerivedProduct/prbcs-antigen-matched-example: BiologicallyDerivedProduct.extension[0].extension[0].value.ofType(CodeableConcept).coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 26
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/us/uscdi-scd/StructureDefinition/uscdi-scd-biologicallyderivedproduct|0.1.0"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code '73817003' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/731000124108/version/20250901' (US Edition)"
            },
            "expression": [
              "BiologicallyDerivedProduct/prbcs-antigen-matched-example: BiologicallyDerivedProduct.extension[0].extension[1].value.ofType(CodeableConcept).coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 38
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/us/uscdi-scd/StructureDefinition/uscdi-scd-biologicallyderivedproduct|0.1.0"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code '90290005' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/731000124108/version/20250901' (US Edition)"
            },
            "expression": [
              "BiologicallyDerivedProduct/prbcs-antigen-matched-example: BiologicallyDerivedProduct.extension[0].extension[2].value.ofType(CodeableConcept).coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 65
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/us/uscdi-scd/StructureDefinition/uscdi-scd-biologicallyderivedproduct|0.1.0"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code '3360007' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/731000124108/version/20250901' (US Edition)"
            },
            "expression": [
              "BiologicallyDerivedProduct/prbcs-antigen-matched-example: BiologicallyDerivedProduct.productCode.coding[0].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/uscdi-scd/OperationOutcome/CapabilityStatement-uscdi-scd-client",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CapabilityStatement-uscdi-scd-client",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10533
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/CapabilityStatement|4.0.1"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "When HL7 is publishing a resource, the owning committee must be stated using the http://hl7.org/fhir/StructureDefinition/structuredefinition-wg extension"
            },
            "expression": [
              "CapabilityStatement/uscdi-scd-client: CapabilityStatement"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/uscdi-scd/OperationOutcome/CapabilityStatement-uscdi-scd-server",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CapabilityStatement-uscdi-scd-server",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 30935
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/CapabilityStatement|4.0.1"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "When HL7 is publishing a resource, the owning committee must be stated using the http://hl7.org/fhir/StructureDefinition/structuredefinition-wg extension"
            },
            "expression": [
              "CapabilityStatement/uscdi-scd-server: CapabilityStatement"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/uscdi-scd/OperationOutcome/CodeSystem-scd-blood-product-processing-cs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-scd-blood-product-processing-cs",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9461
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/CodeSystem|4.0.1"
              }
            ],
            "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/scd-blood-product-processing-cs: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/uscdi-scd/OperationOutcome/CodeSystem-scd-observation-category-cs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-scd-observation-category-cs",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5267
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/CodeSystem|4.0.1"
              }
            ],
            "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/scd-observation-category-cs: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/uscdi-scd/OperationOutcome/Condition-maya-johnson-scd-diagnosis",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-maya-johnson-scd-diagnosis",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 34
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/us/uscdi-scd/StructureDefinition/uscdi-scd-condition-problems|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Sickle-cell disease without crisis, Hb-SS' for http://hl7.org/fhir/sid/icd-10-cm#D57.1. Valid display is 'Sickle-cell disease without crisis' (for the language(s) 'en')"
            },
            "expression": [
              "Condition/maya-johnson-scd-diagnosis: Condition.code.coding[1].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/uscdi-scd/OperationOutcome/Condition-maya-johnson-voc-encounter-dx",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Condition-maya-johnson-voc-encounter-dx",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Validation_VAL_Profile_Maximum"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/us/uscdi-scd/StructureDefinition/uscdi-scd-condition-encounter-diagnosis|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Condition.category:us-core: max allowed = 1, but found 2 (from http://hl7.org/fhir/us/uscdi-scd/StructureDefinition/uscdi-scd-condition-encounter-diagnosis|0.1.0)"
            },
            "expression": [
              "Condition/maya-johnson-voc-encounter-dx: Condition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 28
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/us/uscdi-scd/StructureDefinition/uscdi-scd-condition-encounter-diagnosis|0.1.0"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code '30925003' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/731000124108/version/20250901' (US Edition)"
            },
            "expression": [
              "Condition/maya-johnson-voc-encounter-dx: Condition.code.coding[0].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/uscdi-scd/OperationOutcome/Encounter-maya-johnson-ed-encounter",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Encounter-maya-johnson-ed-encounter",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 24
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/us/uscdi-scd/StructureDefinition/uscdi-scd-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code 'ATND' in the CodeSystem 'http://terminology.hl7.org/CodeSystem/v3-RoleCode' version '4.0.0'"
            },
            "expression": [
              "Encounter/maya-johnson-ed-encounter: Encounter.participant[0].type[0].coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 44
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/us/uscdi-scd/StructureDefinition/uscdi-scd-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code '30925003' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/731000124108/version/20250901' (US Edition)"
            },
            "expression": [
              "Encounter/maya-johnson-ed-encounter: Encounter.reasonCode[0].coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 57
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/us/uscdi-scd/StructureDefinition/uscdi-scd-encounter|0.1.0"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code 'AD' in the CodeSystem 'http://terminology.hl7.org/CodeSystem/v2-0131' version '3.0.0'"
            },
            "expression": [
              "Encounter/maya-johnson-ed-encounter: Encounter.diagnosis[0].use.coding[0].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/uscdi-scd/OperationOutcome/Medication-hydroxyurea-medication-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Medication-hydroxyurea-medication-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 9
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM_VERSION"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/us/uscdi-scd/StructureDefinition/uscdi-scd-medication|0.1.0"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://www.nlm.nih.gov/research/umls/rxnorm' version '09022025' could not be found, so the code cannot be validated. Valid versions: 03022026"
            },
            "expression": [
              "Medication/hydroxyurea-medication-example: Medication.code.coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 9
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/us/uscdi-scd/StructureDefinition/uscdi-scd-medication|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'hydroxyurea' for http://www.nlm.nih.gov/research/umls/rxnorm#202462. Valid display is 'Plaquenil' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Medication/hydroxyurea-medication-example: Medication.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 9
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/us/uscdi-scd/StructureDefinition/uscdi-scd-medication|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'hydroxyurea 1000 MG Oral Tablet [Siklos]' for http://www.nlm.nih.gov/research/umls/rxnorm#1876366. Valid display is 'ocrelizumab' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Medication/hydroxyurea-medication-example: Medication.code.coding[1].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 24
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/us/uscdi-scd/StructureDefinition/uscdi-scd-medication|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Oral tablet (dose form)' for http://snomed.info/sct#421026006. Valid display is one of 5 choices: 'Oral tablet' (en), 'Oral tablet (product)' (en), 'Oral tablet (qualifier value)' (en), 'Conventional release oral tablet (dose form)' (en) or 'Conventional release oral tablet' (en) (for the language(s) 'en')"
            },
            "expression": [
              "Medication/hydroxyurea-medication-example: Medication.form.coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/uscdi-scd/OperationOutcome/Observation-maya-johnson-hgb-fractionation",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-maya-johnson-hgb-fractionation",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Validation_VAL_Profile_Maximum"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/us/uscdi-scd/StructureDefinition/uscdi-scd-laboratory-result|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Observation.category:us-core: max allowed = 1, but found 2 (from http://hl7.org/fhir/us/uscdi-scd/StructureDefinition/uscdi-scd-laboratory-result|0.1.0)"
            },
            "expression": [
              "Observation/maya-johnson-hgb-fractionation: Observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 37
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/us/uscdi-scd/StructureDefinition/uscdi-scd-laboratory-result|0.1.0"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code '32682-8' in the CodeSystem 'http://loinc.org' version '2.77'"
            },
            "expression": [
              "Observation/maya-johnson-hgb-fractionation: Observation.code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 72
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/us/uscdi-scd/StructureDefinition/uscdi-scd-laboratory-result|0.1.0"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code '4625-4' in the CodeSystem 'http://loinc.org' version '2.77'"
            },
            "expression": [
              "Observation/maya-johnson-hgb-fractionation: Observation.component[0].code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 94
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/us/uscdi-scd/StructureDefinition/uscdi-scd-laboratory-result|0.1.0"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code '4576-9' in the CodeSystem 'http://loinc.org' version '2.77'"
            },
            "expression": [
              "Observation/maya-johnson-hgb-fractionation: Observation.component[1].code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/maya-johnson-hgb-fractionation: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/uscdi-scd/OperationOutcome/Observation-maya-johnson-pain-score",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-maya-johnson-pain-score",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Validation_VAL_Profile_Maximum"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/us/uscdi-scd/StructureDefinition/uscdi-scd-vital-signs|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Observation.category:VSCat: max allowed = 1, but found 2 (from http://hl7.org/fhir/us/uscdi-scd/StructureDefinition/uscdi-scd-vital-signs|0.1.0)"
            },
            "expression": [
              "Observation/maya-johnson-pain-score: Observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 59
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/us/uscdi-scd/StructureDefinition/uscdi-scd-vital-signs|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Pain severity - 0-10 verbal numeric rating [NRS]' for http://loinc.org#38208-5. Valid display is one of 3 choices: 'Pain severity - Reported' (en-US), 'Pain severity - Reported' (en-US) or 'Pain severity Reported' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Observation/maya-johnson-pain-score: Observation.code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/maya-johnson-pain-score: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/uscdi-scd/OperationOutcome/Observation-maya-johnson-spo2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-maya-johnson-spo2",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Validation_VAL_Profile_Maximum"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/us/uscdi-scd/StructureDefinition/uscdi-scd-vital-signs|0.1.0"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Observation.category:VSCat: max allowed = 1, but found 2 (from http://hl7.org/fhir/us/uscdi-scd/StructureDefinition/uscdi-scd-vital-signs|0.1.0)"
            },
            "expression": [
              "Observation/maya-johnson-spo2: Observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Validation_VAL_Profile_Maximum"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/oxygensat|4.0.1"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Observation.category:VSCat: max allowed = 1, but found 2 (from http://hl7.org/fhir/StructureDefinition/oxygensat|4.0.1)"
            },
            "expression": [
              "Observation/maya-johnson-spo2: Observation"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 56
              },
              {
                "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": "VALIDATION_VAL_PROFILE_MINIMUM_MAGIC"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/oxygensat|4.0.1"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "OxygenSatCode: magic LOINC code 2708-6 required, but not found (from http://hl7.org/fhir/StructureDefinition/oxygensat|4.0.1). Note that other Observation codes are allowed in addition to this required magic code"
            },
            "expression": [
              "Observation/maya-johnson-spo2: Observation.code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/maya-johnson-spo2: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/uscdi-scd/OperationOutcome/Organization-metro-scd-center-org",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Organization-metro-scd-center-org",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/us/uscdi-scd/StructureDefinition/uscdi-scd-organization#us-core-17"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/us/uscdi-scd/StructureDefinition/uscdi-scd-organization|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: us-core-17: 'NPI check digit must be valid (Luhn algorithm check) ((((select(value.substring(0,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(1,1).toInteger())+(select(value.substring(2,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(3,1).toInteger())+(select(value.substring(4,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(5,1).toInteger())+(select(value.substring(6,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(7,1).toInteger())+(select(value.substring(8,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(9,1).toInteger()) + 24)mod 10=0))'"
            },
            "expression": [
              "Organization/metro-scd-center-org: Organization.identifier[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/uscdi-scd/OperationOutcome/Patient-maya-johnson-patient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Patient-maya-johnson-patient"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/uscdi-scd/OperationOutcome/Practitioner-dr-sarah-chen-practitioner",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Practitioner-dr-sarah-chen-practitioner",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 10
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/us/uscdi-scd/StructureDefinition/uscdi-scd-practitioner#us-core-17"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/us/uscdi-scd/StructureDefinition/uscdi-scd-practitioner|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: us-core-17: 'NPI check digit must be valid (Luhn algorithm check) ((((select(value.substring(0,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(1,1).toInteger())+(select(value.substring(2,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(3,1).toInteger())+(select(value.substring(4,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(5,1).toInteger())+(select(value.substring(6,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(7,1).toInteger())+(select(value.substring(8,1).toInteger()).select(iif($this<5, $this*2, (($this*2)-9))))+(value.substring(9,1).toInteger()) + 24)mod 10=0))'"
            },
            "expression": [
              "Practitioner/dr-sarah-chen-practitioner: Practitioner.identifier[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/uscdi-scd/OperationOutcome/ServiceRequest-exchange-transfusion-order-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ServiceRequest-exchange-transfusion-order-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 20
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/us/uscdi-scd/StructureDefinition/uscdi-scd-servicerequest|0.1.0"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Automated red blood cell exchange (procedure)' for http://snomed.info/sct#71493000. Valid display is one of 3 choices: 'Transfusion of packed red blood cells' (en), 'Transfusion of PRBC' (en) or 'Transfusion of packed red blood cells (procedure)' (en) (for the language(s) 'en')"
            },
            "expression": [
              "ServiceRequest/exchange-transfusion-order-example: ServiceRequest.code.coding[0].display"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/uscdi-scd/OperationOutcome/StructureDefinition-scd-blood-product-age",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-scd-blood-product-age",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 29953
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "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/scd-blood-product-age: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/uscdi-scd/OperationOutcome/StructureDefinition-scd-genotype",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-scd-genotype",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19140
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "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/scd-genotype: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/uscdi-scd/OperationOutcome/StructureDefinition-scd-hydroxyurea-adherence",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-scd-hydroxyurea-adherence",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 57575
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "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/scd-hydroxyurea-adherence: StructureDefinition"
            ]
          },
          {
            "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 extension"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://hl7.org/fhir/us/uscdi-scd/StructureDefinition/scd-hydroxyurea-adherence')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/uscdi-scd/OperationOutcome/StructureDefinition-scd-iron-chelation-indication",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-scd-iron-chelation-indication",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 57440
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "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/scd-iron-chelation-indication: StructureDefinition"
            ]
          },
          {
            "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 extension"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://hl7.org/fhir/us/uscdi-scd/StructureDefinition/scd-iron-chelation-indication')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/uscdi-scd/OperationOutcome/StructureDefinition-scd-newborn-screen-reference",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-scd-newborn-screen-reference",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18550
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "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/scd-newborn-screen-reference: StructureDefinition"
            ]
          },
          {
            "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 extension"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://hl7.org/fhir/us/uscdi-scd/StructureDefinition/scd-newborn-screen-reference')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/uscdi-scd/OperationOutcome/StructureDefinition-scd-transfusion-antigen-match",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-scd-transfusion-antigen-match",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 46703
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "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/scd-transfusion-antigen-match: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/uscdi-scd/OperationOutcome/StructureDefinition-scd-voc-frequency",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-scd-voc-frequency",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 58333
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "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/scd-voc-frequency: StructureDefinition"
            ]
          },
          {
            "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 extension"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://hl7.org/fhir/us/uscdi-scd/StructureDefinition/scd-voc-frequency')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/uscdi-scd/OperationOutcome/StructureDefinition-uscdi-scd-allergyintolerance",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-uscdi-scd-allergyintolerance",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 55979
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1186.8'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '20240625', found versions: 20240606 (from us.nlm.vsac#0.19.0), 20240625 (from us.nlm.vsac#0.24.0). Suggested fix: change the canonical reference from 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1186.8' to 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1186.8|20240625'"
            },
            "expression": [
              "StructureDefinition/uscdi-scd-allergyintolerance: StructureDefinition.snapshot.element[15].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 81984
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "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/uscdi-scd-allergyintolerance: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/uscdi-scd/OperationOutcome/StructureDefinition-uscdi-scd-biologicallyderivedproduct",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-uscdi-scd-biologicallyderivedproduct",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 94752
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "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/uscdi-scd-biologicallyderivedproduct: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/uscdi-scd/OperationOutcome/StructureDefinition-uscdi-scd-careplan",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-uscdi-scd-careplan",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 122462
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "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/uscdi-scd-careplan: StructureDefinition"
            ]
          },
          {
            "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/uscdi-scd/StructureDefinition/uscdi-scd-careplan')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/uscdi-scd/OperationOutcome/StructureDefinition-uscdi-scd-condition-encounter-diagnosis",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-uscdi-scd-condition-encounter-diagnosis",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 86166
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "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/uscdi-scd-condition-encounter-diagnosis: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/uscdi-scd/OperationOutcome/StructureDefinition-uscdi-scd-condition-problems",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-uscdi-scd-condition-problems",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 46302
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.2.0', found versions: 1.0.0 (from hl7.fhir.uv.extensions.r4#1.0.0), 4.0.1 (from hl7.fhir.r4.core#4.0.1), 5.1.0 (from hl7.fhir.uv.extensions.r4#5.1.0), 5.1.0-cibuild (from hl7.fhir.uv.extensions.r4#5.1.0-snapshot1), 5.2.0 (from hl7.fhir.uv.extensions.r4#5.2.0). Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate' to 'http://hl7.org/fhir/StructureDefinition/condition-assertedDate|5.2.0'"
            },
            "expression": [
              "StructureDefinition/uscdi-scd-condition-problems: StructureDefinition.snapshot.element[16].type[0].profile[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 92350
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "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/uscdi-scd-condition-problems: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 91366
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The slice 'screening-assessment' on path 'Condition.category' is not marked as 'must-support' which is not consistent with the element that defines the slicing, where 'must-support' is true"
            },
            "expression": [
              "StructureDefinition/uscdi-scd-condition-problems: StructureDefinition.snapshot"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/uscdi-scd/OperationOutcome/StructureDefinition-uscdi-scd-encounter",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-uscdi-scd-encounter",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 121452
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v2-0092'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.0.0 (from hl7.terminology.r4#7.0.0), 3.0.0 (from hl7.terminology.r4#7.3.0). Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v2-0092' to 'http://terminology.hl7.org/ValueSet/v2-0092|3.0.0'"
            },
            "expression": [
              "StructureDefinition/uscdi-scd-encounter: StructureDefinition.snapshot.element[74].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 126909
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v3-USEncounterDischargeDisposition'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '5.0.0', found versions: 3.0.0 (from hl7.terminology#5.5.0), 5.0.0 (from hl7.terminology.r4#7.3.0). Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v3-USEncounterDischargeDisposition' to 'http://terminology.hl7.org/ValueSet/v3-USEncounterDischargeDisposition|5.0.0'"
            },
            "expression": [
              "StructureDefinition/uscdi-scd-encounter: StructureDefinition.snapshot.element[79].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 140893
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "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/uscdi-scd-encounter: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/uscdi-scd/OperationOutcome/StructureDefinition-uscdi-scd-laboratory-result",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-uscdi-scd-laboratory-result",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 125260
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "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/uscdi-scd-laboratory-result: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/uscdi-scd/OperationOutcome/StructureDefinition-uscdi-scd-location",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-uscdi-scd-location",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 25966
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v2-0116'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.0.0 (from hl7.terminology.r4#7.0.0), 3.0.0 (from hl7.terminology.r4#7.3.0). Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v2-0116' to 'http://terminology.hl7.org/ValueSet/v2-0116|3.0.0'"
            },
            "expression": [
              "StructureDefinition/uscdi-scd-location: StructureDefinition.snapshot.element[11].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 57548
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/USPS-State'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '2.0.0', found versions: 1.0.0 (from hl7.terminology.r4#7.0.0), 2.0.0 (from hl7.terminology.r4#7.3.0). Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/USPS-State' to 'http://terminology.hl7.org/ValueSet/USPS-State|2.0.0'"
            },
            "expression": [
              "StructureDefinition/uscdi-scd-location: StructureDefinition.snapshot.element[38].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 82237
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "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/uscdi-scd-location: StructureDefinition"
            ]
          },
          {
            "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/uscdi-scd/StructureDefinition/uscdi-scd-location')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/uscdi-scd/OperationOutcome/StructureDefinition-uscdi-scd-medication",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-uscdi-scd-medication",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 50690
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "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/uscdi-scd-medication: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/uscdi-scd/OperationOutcome/StructureDefinition-uscdi-scd-organization",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-uscdi-scd-organization",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 96041
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/USPS-State'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '2.0.0', found versions: 1.0.0 (from hl7.terminology.r4#7.0.0), 2.0.0 (from hl7.terminology.r4#7.3.0). Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/USPS-State' to 'http://terminology.hl7.org/ValueSet/USPS-State|2.0.0'"
            },
            "expression": [
              "StructureDefinition/uscdi-scd-organization: StructureDefinition.snapshot.element[66].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 110156
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "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/uscdi-scd-organization: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 110082
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The slice 'CLIA' on path 'Organization.identifier' is not marked as 'must-support' which is not consistent with the element that defines the slicing, where 'must-support' is true"
            },
            "expression": [
              "StructureDefinition/uscdi-scd-organization: StructureDefinition.snapshot"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 110082
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The slice 'NAIC' on path 'Organization.identifier' is not marked as 'must-support' which is not consistent with the element that defines the slicing, where 'must-support' is true"
            },
            "expression": [
              "StructureDefinition/uscdi-scd-organization: StructureDefinition.snapshot"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/uscdi-scd/OperationOutcome/StructureDefinition-uscdi-scd-patient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-uscdi-scd-patient",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 89410
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/USPS-State'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '2.0.0', found versions: 1.0.0 (from hl7.terminology.r4#7.0.0), 2.0.0 (from hl7.terminology.r4#7.3.0). Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/USPS-State' to 'http://terminology.hl7.org/ValueSet/USPS-State|2.0.0'"
            },
            "expression": [
              "StructureDefinition/uscdi-scd-patient: StructureDefinition.snapshot.element[54].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 129842
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "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/uscdi-scd-patient: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/uscdi-scd/OperationOutcome/StructureDefinition-uscdi-scd-practitioner",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-uscdi-scd-practitioner",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 78027
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/USPS-State'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '2.0.0', found versions: 1.0.0 (from hl7.terminology.r4#7.0.0), 2.0.0 (from hl7.terminology.r4#7.3.0). Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/USPS-State' to 'http://terminology.hl7.org/ValueSet/USPS-State|2.0.0'"
            },
            "expression": [
              "StructureDefinition/uscdi-scd-practitioner: StructureDefinition.snapshot.element[55].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 94758
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "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/uscdi-scd-practitioner: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/uscdi-scd/OperationOutcome/StructureDefinition-uscdi-scd-practitionerrole",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-uscdi-scd-practitionerrole",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 60133
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "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/uscdi-scd-practitionerrole: StructureDefinition"
            ]
          },
          {
            "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/uscdi-scd/StructureDefinition/uscdi-scd-practitionerrole')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/uscdi-scd/OperationOutcome/StructureDefinition-uscdi-scd-procedure",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-uscdi-scd-procedure",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 92154
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "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/uscdi-scd-procedure: StructureDefinition"
            ]
          },
          {
            "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/uscdi-scd/StructureDefinition/uscdi-scd-procedure')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/uscdi-scd/OperationOutcome/StructureDefinition-uscdi-scd-servicerequest",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-uscdi-scd-servicerequest",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 88618
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "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/uscdi-scd-servicerequest: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/uscdi-scd/OperationOutcome/StructureDefinition-uscdi-scd-vital-signs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-uscdi-scd-vital-signs",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 109218
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/StructureDefinition|4.0.1"
              }
            ],
            "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/uscdi-scd-vital-signs: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/uscdi-scd/OperationOutcome/ValueSet-scd-acute-complication-vs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-scd-acute-complication-vs",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4496
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/ValueSet|4.0.1"
              }
            ],
            "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/scd-acute-complication-vs: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3748
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '30925003' is not valid in the system http://snomed.info/sct (Unknown code '30925003' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/731000124108/version/20250901' (US Edition))"
            },
            "expression": [
              "ValueSet/scd-acute-complication-vs: ValueSet.compose.include[0].concept[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3812
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '73290009' is not valid in the system http://snomed.info/sct (Unknown code '73290009' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/731000124108/version/20250901' (US Edition))"
            },
            "expression": [
              "ValueSet/scd-acute-complication-vs: ValueSet.compose.include[0].concept[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4005
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '413441004' is not valid in the system http://snomed.info/sct (Unknown code '413441004' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/731000124108/version/20250901' (US Edition))"
            },
            "expression": [
              "ValueSet/scd-acute-complication-vs: ValueSet.compose.include[0].concept[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4103
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '422918003' is not valid in the system http://snomed.info/sct (Unknown code '422918003' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/731000124108/version/20250901' (US Edition))"
            },
            "expression": [
              "ValueSet/scd-acute-complication-vs: ValueSet.compose.include[0].concept[6]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/uscdi-scd/OperationOutcome/ValueSet-scd-blood-product-type-vs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-scd-blood-product-type-vs",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3344
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/ValueSet|4.0.1"
              }
            ],
            "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/scd-blood-product-type-vs: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2856
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '3360007' is not valid in the system http://snomed.info/sct (Unknown code '3360007' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/731000124108/version/20250901' (US Edition))"
            },
            "expression": [
              "ValueSet/scd-blood-product-type-vs: ValueSet.compose.include[0].concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3166
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '420413007' is not valid in the system http://snomed.info/sct (Unknown code '420413007' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/731000124108/version/20250901' (US Edition))"
            },
            "expression": [
              "ValueSet/scd-blood-product-type-vs: ValueSet.compose.include[0].concept[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3253
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '419252003' is not valid in the system http://snomed.info/sct (Unknown code '419252003' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/731000124108/version/20250901' (US Edition))"
            },
            "expression": [
              "ValueSet/scd-blood-product-type-vs: ValueSet.compose.include[0].concept[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3339
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '767410002' is not valid in the system http://snomed.info/sct (Unknown code '767410002' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/731000124108/version/20250901' (US Edition))"
            },
            "expression": [
              "ValueSet/scd-blood-product-type-vs: ValueSet.compose.include[0].concept[6]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/uscdi-scd/OperationOutcome/ValueSet-scd-diagnosis-vs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-scd-diagnosis-vs",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9008
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/ValueSet|4.0.1"
              }
            ],
            "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/scd-diagnosis-vs: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8635
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '417571000' is not valid in the system http://snomed.info/sct (Unknown code '417571000' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/731000124108/version/20250901' (US Edition))"
            },
            "expression": [
              "ValueSet/scd-diagnosis-vs: ValueSet.compose.include[1].concept[2]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/uscdi-scd/OperationOutcome/ValueSet-scd-genotype-vs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-scd-genotype-vs",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3254
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/ValueSet|4.0.1"
              }
            ],
            "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/scd-genotype-vs: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2881
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '417571000' is not valid in the system http://snomed.info/sct (Unknown code '417571000' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/731000124108/version/20250901' (US Edition))"
            },
            "expression": [
              "ValueSet/scd-genotype-vs: ValueSet.compose.include[0].concept[2]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/uscdi-scd/OperationOutcome/ValueSet-scd-laboratory-panel-vs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-scd-laboratory-panel-vs",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9368
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/ValueSet|4.0.1"
              }
            ],
            "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/scd-laboratory-panel-vs: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7276
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '4625-4' is not valid in the system http://loinc.org (Unknown code '4625-4' in the CodeSystem 'http://loinc.org' version '2.82')"
            },
            "expression": [
              "ValueSet/scd-laboratory-panel-vs: ValueSet.compose.include[0].concept[10]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7345
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '4576-9' is not valid in the system http://loinc.org (Unknown code '4576-9' in the CodeSystem 'http://loinc.org' version '2.82')"
            },
            "expression": [
              "ValueSet/scd-laboratory-panel-vs: ValueSet.compose.include[0].concept[11]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7629
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '32682-8' is not valid in the system http://loinc.org (Unknown code '32682-8' in the CodeSystem 'http://loinc.org' version '2.82')"
            },
            "expression": [
              "ValueSet/scd-laboratory-panel-vs: ValueSet.compose.include[0].concept[15]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 7728
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "INACTIVE_CONCEPT_FOUND"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The concept '2532-0' has a status of DISCOURAGED and its use should be reviewed"
            },
            "expression": [
              "ValueSet/scd-laboratory-panel-vs: ValueSet.compose.include[0].concept[16]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9363
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '20977-8' is not valid in the system http://loinc.org (Unknown code '20977-8' in the CodeSystem 'http://loinc.org' version '2.82')"
            },
            "expression": [
              "ValueSet/scd-laboratory-panel-vs: ValueSet.compose.include[0].concept[36]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/uscdi-scd/OperationOutcome/ValueSet-scd-medication-vs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-scd-medication-vs",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2802
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/ValueSet|4.0.1"
              }
            ],
            "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/scd-medication-vs: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2513
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '2002016' is not valid in the system http://www.nlm.nih.gov/research/umls/rxnorm (Unknown code '2002016' in the CodeSystem 'http://www.nlm.nih.gov/research/umls/rxnorm' version '03022026')"
            },
            "expression": [
              "ValueSet/scd-medication-vs: ValueSet.compose.include[0].concept[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2596
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '214385' is not valid in the system http://www.nlm.nih.gov/research/umls/rxnorm (Unknown code '214385' in the CodeSystem 'http://www.nlm.nih.gov/research/umls/rxnorm' version '03022026')"
            },
            "expression": [
              "ValueSet/scd-medication-vs: ValueSet.compose.include[0].concept[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2637
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '3271' is not valid in the system http://www.nlm.nih.gov/research/umls/rxnorm (Unknown code '3271' in the CodeSystem 'http://www.nlm.nih.gov/research/umls/rxnorm' version '03022026')"
            },
            "expression": [
              "ValueSet/scd-medication-vs: ValueSet.compose.include[0].concept[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2678
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '72398' is not valid in the system http://www.nlm.nih.gov/research/umls/rxnorm (Unknown code '72398' in the CodeSystem 'http://www.nlm.nih.gov/research/umls/rxnorm' version '03022026')"
            },
            "expression": [
              "ValueSet/scd-medication-vs: ValueSet.compose.include[0].concept[6]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/uscdi-scd/OperationOutcome/ValueSet-scd-procedure-vs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-scd-procedure-vs",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4172
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/ValueSet|4.0.1"
              }
            ],
            "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/scd-procedure-vs: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3721
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '444360002' is not valid in the system http://snomed.info/sct (Unknown code '444360002' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/731000124108/version/20250901' (US Edition))"
            },
            "expression": [
              "ValueSet/scd-procedure-vs: ValueSet.compose.include[0].concept[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3911
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '304440008' is not valid in the system http://snomed.info/sct (Unknown code '304440008' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/731000124108/version/20250901' (US Edition))"
            },
            "expression": [
              "ValueSet/scd-procedure-vs: ValueSet.compose.include[0].concept[8]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4167
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '405170002' is not valid in the system http://snomed.info/sct (Unknown code '405170002' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/731000124108/version/20250901' (US Edition))"
            },
            "expression": [
              "ValueSet/scd-procedure-vs: ValueSet.compose.include[0].concept[11]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/uscdi-scd/OperationOutcome/ValueSet-scd-red-cell-antigen-vs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-scd-red-cell-antigen-vs",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4217
              },
              {
                "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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/ValueSet|4.0.1"
              }
            ],
            "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/scd-red-cell-antigen-vs: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3521
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '6411008' is not valid in the system http://snomed.info/sct (Unknown code '6411008' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/731000124108/version/20250901' (US Edition))"
            },
            "expression": [
              "ValueSet/scd-red-cell-antigen-vs: ValueSet.compose.include[0].concept[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3581
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '73817003' is not valid in the system http://snomed.info/sct (Unknown code '73817003' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/731000124108/version/20250901' (US Edition))"
            },
            "expression": [
              "ValueSet/scd-red-cell-antigen-vs: ValueSet.compose.include[0].concept[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3641
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '35095006' is not valid in the system http://snomed.info/sct (Unknown code '35095006' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/731000124108/version/20250901' (US Edition))"
            },
            "expression": [
              "ValueSet/scd-red-cell-antigen-vs: ValueSet.compose.include[0].concept[3]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3703
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '90290005' is not valid in the system http://snomed.info/sct (Unknown code '90290005' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/731000124108/version/20250901' (US Edition))"
            },
            "expression": [
              "ValueSet/scd-red-cell-antigen-vs: ValueSet.compose.include[0].concept[4]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3764
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '6532007' is not valid in the system http://snomed.info/sct (Unknown code '6532007' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/731000124108/version/20250901' (US Edition))"
            },
            "expression": [
              "ValueSet/scd-red-cell-antigen-vs: ValueSet.compose.include[0].concept[5]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3938
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '36732006' is not valid in the system http://snomed.info/sct (Unknown code '36732006' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/731000124108/version/20250901' (US Edition))"
            },
            "expression": [
              "ValueSet/scd-red-cell-antigen-vs: ValueSet.compose.include[0].concept[8]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3996
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '36733001' is not valid in the system http://snomed.info/sct (Unknown code '36733001' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/731000124108/version/20250901' (US Edition))"
            },
            "expression": [
              "ValueSet/scd-red-cell-antigen-vs: ValueSet.compose.include[0].concept[9]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4050
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '21974004' is not valid in the system http://snomed.info/sct (Unknown code '21974004' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/731000124108/version/20250901' (US Edition))"
            },
            "expression": [
              "ValueSet/scd-red-cell-antigen-vs: ValueSet.compose.include[0].concept[10]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4104
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '21977006' is not valid in the system http://snomed.info/sct (Unknown code '21977006' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/731000124108/version/20250901' (US Edition))"
            },
            "expression": [
              "ValueSet/scd-red-cell-antigen-vs: ValueSet.compose.include[0].concept[11]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4158
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '21976002' is not valid in the system http://snomed.info/sct (Unknown code '21976002' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/731000124108/version/20250901' (US Edition))"
            },
            "expression": [
              "ValueSet/scd-red-cell-antigen-vs: ValueSet.compose.include[0].concept[12]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4212
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_INCLUDE_INVALID_CONCEPT_CODE"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The code '21975003' is not valid in the system http://snomed.info/sct (Unknown code '21975003' in the CodeSystem 'http://snomed.info/sct' version 'http://snomed.info/sct/731000124108/version/20250901' (US Edition))"
            },
            "expression": [
              "ValueSet/scd-red-cell-antigen-vs: ValueSet.compose.include[0].concept[13]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/uscdi-scd/OperationOutcome/ValueSet-scd-vital-signs-vs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-scd-vital-signs-vs",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3701
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_WG_NEEDED"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-context",
                "valueString": "http://hl7.org/fhir/StructureDefinition/ValueSet|4.0.1"
              }
            ],
            "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/scd-vital-signs-vs: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3190
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "INACTIVE_CONCEPT_FOUND"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The concept '55284-4' has a status of DISCOURAGED and its use should be reviewed"
            },
            "expression": [
              "ValueSet/scd-vital-signs-vs: ValueSet.compose.include[0].concept[2]"
            ]
          }
        ]
      }
    }
  ]
}