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Packagehl7.fhir.us.vr-common-library
Resource TypeBundle
Idvalidation-oo.json
FHIR VersionR4

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Source1

{
  "resourceType": "Bundle",
  "type": "collection",
  "timestamp": "2025-05-05T16:56:21.032+00:00",
  "entry": [
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/ImplementationGuide-hl7.fhir.us.vr-common-library",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ImplementationGuide-hl7.fhir.us.vr-common-library",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2336
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Canonical URL 'http://fhir.org/packages/us.nlm.vsac/ImplementationGuide/us.nlm.vsac' does not resolve"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.us.vr-common-library: 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": 2489
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Canonical URL 'http://fhir.org/packages/us.cdc.phinvads/ImplementationGuide/us.cdc.phinvads' does not resolve"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.us.vr-common-library: ImplementationGuide.dependsOn[4].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2241
              },
              {
                "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#5.0.1 released on 2022-06-22, but the most recent appropriate version is 7.0.0. This reference is getting old and the more recent version should be considered"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.us.vr-common-library: 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": 68083
              },
              {
                "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.vr-common-library: ImplementationGuide"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 68083
              },
              {
                "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.vr-common-library: ImplementationGuide"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/Bundle-bundle-examples-of-identifiers",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Bundle-bundle-examples-of-identifiers"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/CodeSystem-CodeSystem-country-code-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-CodeSystem-country-code-vr"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/CodeSystem-CodeSystem-hispanic-origin-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-CodeSystem-hispanic-origin-vr",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12600
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/CodeSystem-hispanic-origin-vr: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/CodeSystem-CodeSystem-jurisdictions-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-CodeSystem-jurisdictions-vr"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/CodeSystem-CodeSystem-local-observation-codes-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-CodeSystem-local-observation-codes-vr"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/CodeSystem-CodeSystem-race-code-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-CodeSystem-race-code-vr",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 195927
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/CodeSystem-race-code-vr: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/CodeSystem-CodeSystem-race-recode-40-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-CodeSystem-race-recode-40-vr",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8572
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/CodeSystem-race-recode-40-vr: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/CodeSystem-CodeSystem-us-states-territories-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-CodeSystem-us-states-territories-vr"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/CodeSystem-CodeSystem-vr-edit-flags",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-CodeSystem-vr-edit-flags",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4034
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/CodeSystem-vr-edit-flags: CodeSystem.concept[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/CodeSystem-codesystem-ije-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-codesystem-ije-vr"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/CodeSystem-codesystem-vr-component",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-codesystem-vr-component"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/ConceptMap-ConceptMapBirthAttendantTitlesVitalRecords",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-ConceptMapBirthAttendantTitlesVitalRecords",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4470
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Source Code System http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr doesn't have all content (content = not-present), so the source codes cannot be checked"
            },
            "expression": [
              "ConceptMap/ConceptMapBirthAttendantTitlesVitalRecords: ConceptMap.group[0].source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4846
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Source Code System http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr doesn't have all content (content = not-present), so the source codes cannot be checked"
            },
            "expression": [
              "ConceptMap/ConceptMapBirthAttendantTitlesVitalRecords: ConceptMap.group[1].source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4846
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor'. 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: 2.1.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor' to 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor|3.0.0'"
            },
            "expression": [
              "ConceptMap/ConceptMapBirthAttendantTitlesVitalRecords: ConceptMap.group[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3995
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '1' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapBirthAttendantTitlesVitalRecords: ConceptMap.group[0].element[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4109
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '2' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapBirthAttendantTitlesVitalRecords: ConceptMap.group[0].element[1].code"
            ]
          },
          {
            "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"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '3' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapBirthAttendantTitlesVitalRecords: ConceptMap.group[0].element[2].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4352
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '4' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapBirthAttendantTitlesVitalRecords: ConceptMap.group[0].element[3].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4638
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '5' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapBirthAttendantTitlesVitalRecords: ConceptMap.group[1].element[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4750
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '9' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapBirthAttendantTitlesVitalRecords: ConceptMap.group[1].element[1].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/ConceptMap-ConceptMapBirthSexChildVitalRecords",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-ConceptMapBirthSexChildVitalRecords",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3531
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Source Code System http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr doesn't have all content (content = not-present), so the source codes cannot be checked"
            },
            "expression": [
              "ConceptMap/ConceptMapBirthSexChildVitalRecords: ConceptMap.group[0].source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3531
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender'. 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: 2.1.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender' to 'http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender|3.0.0'"
            },
            "expression": [
              "ConceptMap/ConceptMapBirthSexChildVitalRecords: ConceptMap.group[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3806
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Source Code System http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr doesn't have all content (content = not-present), so the source codes cannot be checked"
            },
            "expression": [
              "ConceptMap/ConceptMapBirthSexChildVitalRecords: ConceptMap.group[1].source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3806
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor'. 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: 2.1.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor' to 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor|3.0.0'"
            },
            "expression": [
              "ConceptMap/ConceptMapBirthSexChildVitalRecords: ConceptMap.group[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3341
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'M' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapBirthSexChildVitalRecords: ConceptMap.group[0].element[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3439
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'F' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapBirthSexChildVitalRecords: ConceptMap.group[0].element[1].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3699
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'N' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapBirthSexChildVitalRecords: ConceptMap.group[1].element[0].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/ConceptMap-ConceptMapBirthSexFetusVitalRecords",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-ConceptMapBirthSexFetusVitalRecords",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3520
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Source Code System http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr doesn't have all content (content = not-present), so the source codes cannot be checked"
            },
            "expression": [
              "ConceptMap/ConceptMapBirthSexFetusVitalRecords: ConceptMap.group[0].source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3520
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender'. 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: 2.1.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender' to 'http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender|3.0.0'"
            },
            "expression": [
              "ConceptMap/ConceptMapBirthSexFetusVitalRecords: ConceptMap.group[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3784
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Source Code System http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr doesn't have all content (content = not-present), so the source codes cannot be checked"
            },
            "expression": [
              "ConceptMap/ConceptMapBirthSexFetusVitalRecords: ConceptMap.group[1].source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3784
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor'. 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: 2.1.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor' to 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor|3.0.0'"
            },
            "expression": [
              "ConceptMap/ConceptMapBirthSexFetusVitalRecords: ConceptMap.group[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3330
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'M' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapBirthSexFetusVitalRecords: ConceptMap.group[0].element[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3428
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'F' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapBirthSexFetusVitalRecords: ConceptMap.group[0].element[1].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3688
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'U' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapBirthSexFetusVitalRecords: ConceptMap.group[1].element[0].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/ConceptMap-ConceptMapDateOfBirthEditFlagsVitalRecords",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-ConceptMapDateOfBirthEditFlagsVitalRecords",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3151
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Source Code System http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr doesn't have all content (content = not-present), so the source codes cannot be checked"
            },
            "expression": [
              "ConceptMap/ConceptMapDateOfBirthEditFlagsVitalRecords: ConceptMap.group[0].source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2924
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '0' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapDateOfBirthEditFlagsVitalRecords: ConceptMap.group[0].element[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3036
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '1' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapDateOfBirthEditFlagsVitalRecords: ConceptMap.group[0].element[1].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/ConceptMap-ConceptMapEditBypass01234VitalRecords",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-ConceptMapEditBypass01234VitalRecords",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4326
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Source Code System http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr doesn't have all content (content = not-present), so the source codes cannot be checked"
            },
            "expression": [
              "ConceptMap/ConceptMapEditBypass01234VitalRecords: ConceptMap.group[0].source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3598
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '0' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapEditBypass01234VitalRecords: ConceptMap.group[0].element[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3710
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '1' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapEditBypass01234VitalRecords: ConceptMap.group[0].element[1].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3878
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '2' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapEditBypass01234VitalRecords: ConceptMap.group[0].element[2].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4054
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '3' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapEditBypass01234VitalRecords: ConceptMap.group[0].element[3].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4196
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '4' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapEditBypass01234VitalRecords: ConceptMap.group[0].element[4].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/ConceptMap-ConceptMapEducationLevelVitalRecords",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-ConceptMapEducationLevelVitalRecords",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5911
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Source Code System http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr doesn't have all content (content = not-present), so the source codes cannot be checked"
            },
            "expression": [
              "ConceptMap/ConceptMapEducationLevelVitalRecords: ConceptMap.group[0].source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5911
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/v3-EducationLevel'. 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: 2.1.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/v3-EducationLevel' to 'http://terminology.hl7.org/CodeSystem/v3-EducationLevel|3.0.0'"
            },
            "expression": [
              "ConceptMap/ConceptMapEducationLevelVitalRecords: ConceptMap.group[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6431
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Source Code System http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr doesn't have all content (content = not-present), so the source codes cannot be checked"
            },
            "expression": [
              "ConceptMap/ConceptMapEducationLevelVitalRecords: ConceptMap.group[1].source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6431
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/v2-0360'. 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 '2.1.0', found versions: 2.0.0, 2.1.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/v2-0360' to 'http://terminology.hl7.org/CodeSystem/v2-0360|2.1.0'"
            },
            "expression": [
              "ConceptMap/ConceptMapEducationLevelVitalRecords: ConceptMap.group[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6695
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Source Code System http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr doesn't have all content (content = not-present), so the source codes cannot be checked"
            },
            "expression": [
              "ConceptMap/ConceptMapEducationLevelVitalRecords: ConceptMap.group[2].source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6695
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor'. 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: 2.1.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor' to 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor|3.0.0'"
            },
            "expression": [
              "ConceptMap/ConceptMapEducationLevelVitalRecords: ConceptMap.group[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5137
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '1' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapEducationLevelVitalRecords: ConceptMap.group[0].element[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5264
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '2' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapEducationLevelVitalRecords: ConceptMap.group[0].element[1].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5429
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '3' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapEducationLevelVitalRecords: ConceptMap.group[0].element[2].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5604
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '4' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapEducationLevelVitalRecords: ConceptMap.group[0].element[3].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5753
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '8' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapEducationLevelVitalRecords: ConceptMap.group[0].element[4].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6073
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '5' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapEducationLevelVitalRecords: ConceptMap.group[1].element[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6197
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '6' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapEducationLevelVitalRecords: ConceptMap.group[1].element[1].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6321
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '7' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapEducationLevelVitalRecords: ConceptMap.group[1].element[2].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6599
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '9' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapEducationLevelVitalRecords: ConceptMap.group[2].element[0].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/ConceptMap-ConceptMapHispanicNoUnknownVitalRecords",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-ConceptMapHispanicNoUnknownVitalRecords",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3479
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Source Code System http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr doesn't have all content (content = not-present), so the source codes cannot be checked"
            },
            "expression": [
              "ConceptMap/ConceptMapHispanicNoUnknownVitalRecords: ConceptMap.group[0].source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3743
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Source Code System http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr doesn't have all content (content = not-present), so the source codes cannot be checked"
            },
            "expression": [
              "ConceptMap/ConceptMapHispanicNoUnknownVitalRecords: ConceptMap.group[1].source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3743
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor'. 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: 2.1.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor' to 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor|3.0.0'"
            },
            "expression": [
              "ConceptMap/ConceptMapHispanicNoUnknownVitalRecords: ConceptMap.group[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3299
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'H' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapHispanicNoUnknownVitalRecords: ConceptMap.group[0].element[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3395
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'N' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapHispanicNoUnknownVitalRecords: ConceptMap.group[0].element[1].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3647
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'U' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapHispanicNoUnknownVitalRecords: ConceptMap.group[1].element[0].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/ConceptMap-ConceptMapHispanicOriginVitalRecords",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-ConceptMapHispanicOriginVitalRecords",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23704
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Source Code System http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr doesn't have all content (content = not-present), so the source codes cannot be checked"
            },
            "expression": [
              "ConceptMap/ConceptMapHispanicOriginVitalRecords: ConceptMap.group[0].source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15822
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '100' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapHispanicOriginVitalRecords: ConceptMap.group[0].element[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
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                "valueString": "InstanceValidator"
              }
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            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '282' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
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                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '283' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '284' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
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            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '285' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapHispanicOriginVitalRecords: ConceptMap.group[0].element[55].code"
            ]
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            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '286' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
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            "extension": [
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '287' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
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            ]
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            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '288' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapHispanicOriginVitalRecords: ConceptMap.group[0].element[58].code"
            ]
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '289' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapHispanicOriginVitalRecords: ConceptMap.group[0].element[59].code"
            ]
          },
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            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22878
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '290' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapHispanicOriginVitalRecords: ConceptMap.group[0].element[60].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 22990
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '291' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapHispanicOriginVitalRecords: ConceptMap.group[0].element[61].code"
            ]
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            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23138
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '299' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapHispanicOriginVitalRecords: ConceptMap.group[0].element[62].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23258
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '996' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapHispanicOriginVitalRecords: ConceptMap.group[0].element[63].code"
            ]
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23370
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '997' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapHispanicOriginVitalRecords: ConceptMap.group[0].element[64].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23480
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '998' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapHispanicOriginVitalRecords: ConceptMap.group[0].element[65].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 23588
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '999' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapHispanicOriginVitalRecords: ConceptMap.group[0].element[66].code"
            ]
          }
        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/ConceptMap-ConceptMapMaritalStatusVitalRecords",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-ConceptMapMaritalStatusVitalRecords",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4921
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Source Code System http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr doesn't have all content (content = not-present), so the source codes cannot be checked"
            },
            "expression": [
              "ConceptMap/ConceptMapMaritalStatusVitalRecords: ConceptMap.group[0].source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4921
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/v3-MaritalStatus'. 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: 2.1.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/v3-MaritalStatus' to 'http://terminology.hl7.org/CodeSystem/v3-MaritalStatus|3.0.0'"
            },
            "expression": [
              "ConceptMap/ConceptMapMaritalStatusVitalRecords: ConceptMap.group[0]"
            ]
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5194
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Source Code System http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr doesn't have all content (content = not-present), so the source codes cannot be checked"
            },
            "expression": [
              "ConceptMap/ConceptMapMaritalStatusVitalRecords: ConceptMap.group[1].source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5194
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor'. 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: 2.1.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor' to 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor|3.0.0'"
            },
            "expression": [
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            ]
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4251
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'D' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapMaritalStatusVitalRecords: ConceptMap.group[0].element[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4357
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'A' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapMaritalStatusVitalRecords: ConceptMap.group[0].element[1].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4485
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'M' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapMaritalStatusVitalRecords: ConceptMap.group[0].element[2].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4589
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'S' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapMaritalStatusVitalRecords: ConceptMap.group[0].element[3].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4705
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'W' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapMaritalStatusVitalRecords: ConceptMap.group[0].element[4].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4809
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'U' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapMaritalStatusVitalRecords: ConceptMap.group[0].element[5].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5089
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'U' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapMaritalStatusVitalRecords: ConceptMap.group[1].element[0].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/ConceptMap-ConceptMapPluralityEditFlagsVitalRecords",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-ConceptMapPluralityEditFlagsVitalRecords",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3615
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Source Code System http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr doesn't have all content (content = not-present), so the source codes cannot be checked"
            },
            "expression": [
              "ConceptMap/ConceptMapPluralityEditFlagsVitalRecords: ConceptMap.group[0].source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3182
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '0' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapPluralityEditFlagsVitalRecords: ConceptMap.group[0].element[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3281
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '1' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapPluralityEditFlagsVitalRecords: ConceptMap.group[0].element[1].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3425
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '2' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapPluralityEditFlagsVitalRecords: ConceptMap.group[0].element[2].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/ConceptMap-ConceptMapRaceCodeVitalRecords",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-ConceptMapRaceCodeVitalRecords",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 397847
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Source Code System http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr doesn't have all content (content = not-present), so the source codes cannot be checked"
            },
            "expression": [
              "ConceptMap/ConceptMapRaceCodeVitalRecords: ConceptMap.group[0].source"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/ConceptMap-ConceptMapRaceMissingValueReasonVitalRecords",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-ConceptMapRaceMissingValueReasonVitalRecords",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3690
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Source Code System http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr doesn't have all content (content = not-present), so the source codes cannot be checked"
            },
            "expression": [
              "ConceptMap/ConceptMapRaceMissingValueReasonVitalRecords: ConceptMap.group[0].source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3690
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor'. 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: 2.1.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor' to 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor|3.0.0'"
            },
            "expression": [
              "ConceptMap/ConceptMapRaceMissingValueReasonVitalRecords: ConceptMap.group[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3963
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Source Code System http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr doesn't have all content (content = not-present), so the source codes cannot be checked"
            },
            "expression": [
              "ConceptMap/ConceptMapRaceMissingValueReasonVitalRecords: ConceptMap.group[1].source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3963
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/v3-ActReason'. 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 '3.1.0', found versions: 2.1.0, 3.1.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/v3-ActReason' to 'http://terminology.hl7.org/CodeSystem/v3-ActReason|3.1.0'"
            },
            "expression": [
              "ConceptMap/ConceptMapRaceMissingValueReasonVitalRecords: ConceptMap.group[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3458
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'S' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapRaceMissingValueReasonVitalRecords: ConceptMap.group[0].element[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3587
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'C' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapRaceMissingValueReasonVitalRecords: ConceptMap.group[0].element[1].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3857
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'R' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapRaceMissingValueReasonVitalRecords: ConceptMap.group[1].element[0].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/ConceptMap-ConceptMapRaceRecode40VitalRecords",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-ConceptMapRaceRecode40VitalRecords",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16278
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Source Code System http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr doesn't have all content (content = not-present), so the source codes cannot be checked"
            },
            "expression": [
              "ConceptMap/ConceptMapRaceRecode40VitalRecords: ConceptMap.group[0].source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11031
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '01' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapRaceRecode40VitalRecords: ConceptMap.group[0].element[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11133
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '02' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapRaceRecode40VitalRecords: ConceptMap.group[0].element[1].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11235
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '03' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapRaceRecode40VitalRecords: ConceptMap.group[0].element[2].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11407
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '04' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapRaceRecode40VitalRecords: ConceptMap.group[0].element[3].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11523
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '05' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapRaceRecode40VitalRecords: ConceptMap.group[0].element[4].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11629
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '06' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapRaceRecode40VitalRecords: ConceptMap.group[0].element[5].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11737
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '07' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapRaceRecode40VitalRecords: ConceptMap.group[0].element[6].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11845
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '08' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapRaceRecode40VitalRecords: ConceptMap.group[0].element[7].code"
            ]
          },
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                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '34' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapRaceRecode40VitalRecords: ConceptMap.group[0].element[33].code"
            ]
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15249
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '35' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapRaceRecode40VitalRecords: ConceptMap.group[0].element[34].code"
            ]
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15397
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '36' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapRaceRecode40VitalRecords: ConceptMap.group[0].element[35].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15545
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '37' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapRaceRecode40VitalRecords: ConceptMap.group[0].element[36].code"
            ]
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15693
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '38' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapRaceRecode40VitalRecords: ConceptMap.group[0].element[37].code"
            ]
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15843
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '39' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapRaceRecode40VitalRecords: ConceptMap.group[0].element[38].code"
            ]
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15991
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '40' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapRaceRecode40VitalRecords: ConceptMap.group[0].element[39].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16153
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '99' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapRaceRecode40VitalRecords: ConceptMap.group[0].element[40].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/ConceptMap-ConceptMapUnitsOfAgeVitalRecords",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-ConceptMapUnitsOfAgeVitalRecords",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4328
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Source Code System http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr doesn't have all content (content = not-present), so the source codes cannot be checked"
            },
            "expression": [
              "ConceptMap/ConceptMapUnitsOfAgeVitalRecords: ConceptMap.group[0].source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4328
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_TARGET_INCOMPLETE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Target Code System http://unitsofmeasure.org doesn't have all content (content = not-present), so the target codes cannot be checked"
            },
            "expression": [
              "ConceptMap/ConceptMapUnitsOfAgeVitalRecords: ConceptMap.group[0].target"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4611
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Source Code System http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr doesn't have all content (content = not-present), so the source codes cannot be checked"
            },
            "expression": [
              "ConceptMap/ConceptMapUnitsOfAgeVitalRecords: ConceptMap.group[1].source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4611
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor'. 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: 2.1.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor' to 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor|3.0.0'"
            },
            "expression": [
              "ConceptMap/ConceptMapUnitsOfAgeVitalRecords: ConceptMap.group[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3831
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '1' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapUnitsOfAgeVitalRecords: ConceptMap.group[0].element[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3931
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '2' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapUnitsOfAgeVitalRecords: ConceptMap.group[0].element[1].code"
            ]
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4034
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '4' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapUnitsOfAgeVitalRecords: ConceptMap.group[0].element[2].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4132
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '5' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapUnitsOfAgeVitalRecords: ConceptMap.group[0].element[3].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4232
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '6' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapUnitsOfAgeVitalRecords: ConceptMap.group[0].element[4].code"
            ]
          },
          {
            "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"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code '9' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapUnitsOfAgeVitalRecords: ConceptMap.group[1].element[0].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/ConceptMap-ConceptMapYesNoNotApplicableVitalRecords",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-ConceptMapYesNoNotApplicableVitalRecords",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3507
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Source Code System http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr doesn't have all content (content = not-present), so the source codes cannot be checked"
            },
            "expression": [
              "ConceptMap/ConceptMapYesNoNotApplicableVitalRecords: ConceptMap.group[0].source"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3784
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Source Code System http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr doesn't have all content (content = not-present), so the source codes cannot be checked"
            },
            "expression": [
              "ConceptMap/ConceptMapYesNoNotApplicableVitalRecords: ConceptMap.group[1].source"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3784
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor'. 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: 2.1.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor' to 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor|3.0.0'"
            },
            "expression": [
              "ConceptMap/ConceptMapYesNoNotApplicableVitalRecords: ConceptMap.group[1]"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3327
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'N' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapYesNoNotApplicableVitalRecords: ConceptMap.group[0].element[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3421
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'Y' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
              "ConceptMap/ConceptMapYesNoNotApplicableVitalRecords: ConceptMap.group[0].element[1].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3675
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'X' comes from the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr which could not be found, so it's not known whether it's valid in the value set 'http://hl7.org/fhir/us/vr-common-library/ValueSet/ValueSet-ije-vr'"
            },
            "expression": [
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            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/Observation-observation-input-race-and-ethnicity-vr-mother",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-input-race-and-ethnicity-vr-mother",
        "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": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Observation/observation-input-race-and-ethnicity-vr-mother: 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": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Observation/observation-input-race-and-ethnicity-vr-mother: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/Observation-observation-partial-date-time-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-observation-partial-date-time-example"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/Parameters-expansion-parameters-vr-common",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Parameters-expansion-parameters-vr-common"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/Patient-patient-child-vr-babyg-quinn-common-1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Patient-patient-child-vr-babyg-quinn-common-1",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 94
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 52
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "URL value 'http://hospital.smarthealthit.org' does not resolve"
            },
            "expression": [
              "Patient/patient-child-vr-babyg-quinn-common-1: Patient.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/Patient-patient-child-vr-babyg-quinn-common",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Patient-patient-child-vr-babyg-quinn-common",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 94
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 52
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "URL value 'http://hospital.smarthealthit.org' does not resolve"
            },
            "expression": [
              "Patient/patient-child-vr-babyg-quinn-common: Patient.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/Patient-patient-child-vr-babyg-quinn-w-edit",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Patient-patient-child-vr-babyg-quinn-w-edit",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 94
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 52
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "URL value 'http://hospital.smarthealthit.org' does not resolve"
            },
            "expression": [
              "Patient/patient-child-vr-babyg-quinn-w-edit: Patient.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/Patient-patient-fetal-death-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Patient-patient-fetal-death-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 52
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "URL value 'http://hospital.smarthealthit.org' does not resolve"
            },
            "expression": [
              "Patient/patient-fetal-death-example: Patient.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/Patient-patient-mother-vr-birth-date-part-absent",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Patient-patient-mother-vr-birth-date-part-absent",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 67
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 52
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "URL value 'http://hospital.smarthealthit.org' does not resolve"
            },
            "expression": [
              "Patient/patient-mother-vr-birth-date-part-absent: Patient.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/Patient-patient-mother-vr-jada-ann-quinn-common",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Patient-patient-mother-vr-jada-ann-quinn-common",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 89
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 52
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "URL value 'http://hospital.smarthealthit.org' does not resolve"
            },
            "expression": [
              "Patient/patient-mother-vr-jada-ann-quinn-common: Patient.identifier[1].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/Patient-us-core-patient-vr-a-freeman",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Patient-us-core-patient-vr-a-freeman",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 58
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 52
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "URL value 'http://hospital.smarthealthit.org' does not resolve"
            },
            "expression": [
              "Patient/us-core-patient-vr-a-freeman: Patient.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/Patient-us-core-patient-vr-unknown-name",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Patient-us-core-patient-vr-unknown-name",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 22
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 52
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "URL value 'http://hospital.smarthealthit.org' does not resolve"
            },
            "expression": [
              "Patient/us-core-patient-vr-unknown-name: Patient.identifier[0].system"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/Practitioner-practitioner-vr-janet-seito-common",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Practitioner-practitioner-vr-janet-seito-common"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/RelatedPerson-relatedperson-father-natural-vr-james-brandon-quinn-common",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "RelatedPerson-relatedperson-father-natural-vr-james-brandon-quinn-common"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/RelatedPerson-relatedperson-father-vr-tom-yan-lee-common",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "RelatedPerson-relatedperson-father-vr-tom-yan-lee-common"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/RelatedPerson-relatedperson-father-vr-tony-lewis-common",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "RelatedPerson-relatedperson-father-vr-tony-lewis-common"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/RelatedPerson-relatedperson-mother-vr-carol-hoffer-common",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "RelatedPerson-relatedperson-mother-vr-carol-hoffer-common"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/RelatedPerson-relatedperson-parent-vr-stepmother",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "RelatedPerson-relatedperson-parent-vr-stepmother"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/StructureDefinition-AuxiliaryStateIdentifier1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-AuxiliaryStateIdentifier1"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/StructureDefinition-AuxiliaryStateIdentifier2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-AuxiliaryStateIdentifier2"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/StructureDefinition-BypassEditFlag",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-BypassEditFlag"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/StructureDefinition-CertificateNumber",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-CertificateNumber"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/StructureDefinition-CityCode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-CityCode"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/StructureDefinition-DistrictCode",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-DistrictCode"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/StructureDefinition-Extension-jurisdiction-id-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Extension-jurisdiction-id-vr"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/StructureDefinition-Extension-partial-date-time-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Extension-partial-date-time-vr",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 79838
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/data-absent-reason'. 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: 4.0.1, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/data-absent-reason' to 'http://hl7.org/fhir/StructureDefinition/data-absent-reason|5.2.0'"
            },
            "expression": [
              "StructureDefinition/Extension-partial-date-time-vr: StructureDefinition.snapshot.element[10].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": 90421
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/data-absent-reason'. 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: 4.0.1, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/data-absent-reason' to 'http://hl7.org/fhir/StructureDefinition/data-absent-reason|5.2.0'"
            },
            "expression": [
              "StructureDefinition/Extension-partial-date-time-vr: StructureDefinition.snapshot.element[23].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": 100985
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/data-absent-reason'. 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: 4.0.1, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/data-absent-reason' to 'http://hl7.org/fhir/StructureDefinition/data-absent-reason|5.2.0'"
            },
            "expression": [
              "StructureDefinition/Extension-partial-date-time-vr: StructureDefinition.snapshot.element[36].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": 111484
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/data-absent-reason'. 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: 4.0.1, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/data-absent-reason' to 'http://hl7.org/fhir/StructureDefinition/data-absent-reason|5.2.0'"
            },
            "expression": [
              "StructureDefinition/Extension-partial-date-time-vr: StructureDefinition.snapshot.element[49].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": 119871
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/data-absent-reason'. 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: 4.0.1, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/data-absent-reason' to 'http://hl7.org/fhir/StructureDefinition/data-absent-reason|5.2.0'"
            },
            "expression": [
              "StructureDefinition/Extension-partial-date-time-vr: StructureDefinition.differential.element[7].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": 121234
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/data-absent-reason'. 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: 4.0.1, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/data-absent-reason' to 'http://hl7.org/fhir/StructureDefinition/data-absent-reason|5.2.0'"
            },
            "expression": [
              "StructureDefinition/Extension-partial-date-time-vr: StructureDefinition.differential.element[14].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": 122578
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/data-absent-reason'. 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: 4.0.1, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/data-absent-reason' to 'http://hl7.org/fhir/StructureDefinition/data-absent-reason|5.2.0'"
            },
            "expression": [
              "StructureDefinition/Extension-partial-date-time-vr: StructureDefinition.differential.element[21].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": 123863
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/data-absent-reason'. 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: 4.0.1, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/data-absent-reason' to 'http://hl7.org/fhir/StructureDefinition/data-absent-reason|5.2.0'"
            },
            "expression": [
              "StructureDefinition/Extension-partial-date-time-vr: StructureDefinition.differential.element[28].type[0].profile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/StructureDefinition-Extension-partial-date-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Extension-partial-date-vr",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 65203
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/data-absent-reason'. 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: 4.0.1, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/data-absent-reason' to 'http://hl7.org/fhir/StructureDefinition/data-absent-reason|5.2.0'"
            },
            "expression": [
              "StructureDefinition/Extension-partial-date-vr: StructureDefinition.snapshot.element[10].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": 75786
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/data-absent-reason'. 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: 4.0.1, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/data-absent-reason' to 'http://hl7.org/fhir/StructureDefinition/data-absent-reason|5.2.0'"
            },
            "expression": [
              "StructureDefinition/Extension-partial-date-vr: StructureDefinition.snapshot.element[23].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": 86350
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/data-absent-reason'. 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: 4.0.1, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/data-absent-reason' to 'http://hl7.org/fhir/StructureDefinition/data-absent-reason|5.2.0'"
            },
            "expression": [
              "StructureDefinition/Extension-partial-date-vr: StructureDefinition.snapshot.element[36].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": 94706
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/data-absent-reason'. 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: 4.0.1, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/data-absent-reason' to 'http://hl7.org/fhir/StructureDefinition/data-absent-reason|5.2.0'"
            },
            "expression": [
              "StructureDefinition/Extension-partial-date-vr: StructureDefinition.differential.element[7].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": 96069
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/data-absent-reason'. 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: 4.0.1, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/data-absent-reason' to 'http://hl7.org/fhir/StructureDefinition/data-absent-reason|5.2.0'"
            },
            "expression": [
              "StructureDefinition/Extension-partial-date-vr: StructureDefinition.differential.element[14].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": 97413
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/data-absent-reason'. 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: 4.0.1, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/data-absent-reason' to 'http://hl7.org/fhir/StructureDefinition/data-absent-reason|5.2.0'"
            },
            "expression": [
              "StructureDefinition/Extension-partial-date-vr: StructureDefinition.differential.element[21].type[0].profile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/StructureDefinition-Extension-patient-fetal-death-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Extension-patient-fetal-death-vr"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/StructureDefinition-Extension-relatedperson-birthplace-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Extension-relatedperson-birthplace-vr"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/StructureDefinition-Extension-reported-parent-age-at-delivery-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Extension-reported-parent-age-at-delivery-vr"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/StructureDefinition-Extension-within-city-limits-indicator-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Extension-within-city-limits-indicator-vr"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/StructureDefinition-Location-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Location-vr",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 74577
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType'. It might be a good idea to fix to the correct version to reduce the likelihood of a wrong version being selected by an implementation/implementer, or use the [IG Parameter `pin-canonicals`](https://hl7.org/fhir/tools/CodeSystem-ig-parameters.html). Using version '3.0.0', found versions: 2.0.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType' to 'http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType|3.0.0'"
            },
            "expression": [
              "StructureDefinition/Location-vr: StructureDefinition.snapshot.element[16].binding.valueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_DERIVATION_NO_CONCRETE"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "Location is labeled as an abstract type, but no concrete descendants were found (check definitions - this is usually an error unless concrete definitions are in some other package)"
            },
            "expression": [
              "StructureDefinition/Location-vr: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/StructureDefinition-Observation-education-level-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Observation-education-level-vr"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/StructureDefinition-Observation-emerging-issues-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Observation-emerging-issues-vr"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/StructureDefinition-Patient-child-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Patient-child-vr",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 125188
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/patient-birthPlace'. 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: 4.0.1, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/patient-birthPlace' to 'http://hl7.org/fhir/StructureDefinition/patient-birthPlace|5.2.0'"
            },
            "expression": [
              "StructureDefinition/Patient-child-vr: 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": 228719
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/data-absent-reason'. 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: 4.0.1, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/data-absent-reason' to 'http://hl7.org/fhir/StructureDefinition/data-absent-reason|5.2.0'"
            },
            "expression": [
              "StructureDefinition/Patient-child-vr: StructureDefinition.snapshot.element[112].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": 232837
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/data-absent-reason'. 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: 4.0.1, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/data-absent-reason' to 'http://hl7.org/fhir/StructureDefinition/data-absent-reason|5.2.0'"
            },
            "expression": [
              "StructureDefinition/Patient-child-vr: StructureDefinition.snapshot.element[117].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": 273444
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/patient-birthTime'. 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: 4.0.1, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/patient-birthTime' to 'http://hl7.org/fhir/StructureDefinition/patient-birthTime|5.2.0'"
            },
            "expression": [
              "StructureDefinition/Patient-child-vr: StructureDefinition.snapshot.element[155].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": 361885
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "The slice 'deceasedBoolean' on path 'Patient.deceased[x]' is not marked as 'must-support' which is not consistent with the element that defines the slicing, where 'must-support' is true"
            },
            "expression": [
              "StructureDefinition/Patient-child-vr: StructureDefinition.snapshot"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/StructureDefinition-Patient-mother-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Patient-mother-vr",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 127083
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/patient-birthPlace'. 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: 4.0.1, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/patient-birthPlace' to 'http://hl7.org/fhir/StructureDefinition/patient-birthPlace|5.2.0'"
            },
            "expression": [
              "StructureDefinition/Patient-mother-vr: StructureDefinition.snapshot.element[12].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": 218610
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/data-absent-reason'. 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: 4.0.1, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/data-absent-reason' to 'http://hl7.org/fhir/StructureDefinition/data-absent-reason|5.2.0'"
            },
            "expression": [
              "StructureDefinition/Patient-mother-vr: StructureDefinition.snapshot.element[93].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": 222706
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/data-absent-reason'. 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: 4.0.1, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/data-absent-reason' to 'http://hl7.org/fhir/StructureDefinition/data-absent-reason|5.2.0'"
            },
            "expression": [
              "StructureDefinition/Patient-mother-vr: StructureDefinition.snapshot.element[98].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": 263287
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/patient-birthTime'. 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: 4.0.1, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/patient-birthTime' to 'http://hl7.org/fhir/StructureDefinition/patient-birthTime|5.2.0'"
            },
            "expression": [
              "StructureDefinition/Patient-mother-vr: StructureDefinition.snapshot.element[136].type[0].profile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/StructureDefinition-Patient-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Patient-vr",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 165907
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/patient-birthPlace'. 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: 4.0.1, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/patient-birthPlace' to 'http://hl7.org/fhir/StructureDefinition/patient-birthPlace|5.2.0'"
            },
            "expression": [
              "StructureDefinition/Patient-vr: StructureDefinition.snapshot.element[12].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": 240305
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/data-absent-reason'. 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: 4.0.1, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/data-absent-reason' to 'http://hl7.org/fhir/StructureDefinition/data-absent-reason|5.2.0'"
            },
            "expression": [
              "StructureDefinition/Patient-vr: StructureDefinition.snapshot.element[79].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": 244446
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/data-absent-reason'. 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: 4.0.1, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/data-absent-reason' to 'http://hl7.org/fhir/StructureDefinition/data-absent-reason|5.2.0'"
            },
            "expression": [
              "StructureDefinition/Patient-vr: StructureDefinition.snapshot.element[84].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": 285043
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/patient-birthTime'. 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: 4.0.1, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/patient-birthTime' to 'http://hl7.org/fhir/StructureDefinition/patient-birthTime|5.2.0'"
            },
            "expression": [
              "StructureDefinition/Patient-vr: StructureDefinition.snapshot.element[122].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": 370376
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/patient-birthPlace'. 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: 4.0.1, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/patient-birthPlace' to 'http://hl7.org/fhir/StructureDefinition/patient-birthPlace|5.2.0'"
            },
            "expression": [
              "StructureDefinition/Patient-vr: StructureDefinition.differential.element[0].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": 374860
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/data-absent-reason'. 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: 4.0.1, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/data-absent-reason' to 'http://hl7.org/fhir/StructureDefinition/data-absent-reason|5.2.0'"
            },
            "expression": [
              "StructureDefinition/Patient-vr: StructureDefinition.differential.element[18].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": 375256
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/data-absent-reason'. 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: 4.0.1, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/data-absent-reason' to 'http://hl7.org/fhir/StructureDefinition/data-absent-reason|5.2.0'"
            },
            "expression": [
              "StructureDefinition/Patient-vr: StructureDefinition.differential.element[20].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": 376572
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_MULTIPLE_POSSIBLE_VERSIONS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://hl7.org/fhir/StructureDefinition/patient-birthTime'. 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: 4.0.1, 5.2.0. Suggested fix: change the canonical reference from 'http://hl7.org/fhir/StructureDefinition/patient-birthTime' to 'http://hl7.org/fhir/StructureDefinition/patient-birthTime|5.2.0'"
            },
            "expression": [
              "StructureDefinition/Patient-vr: StructureDefinition.differential.element[27].type[0].profile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/StructureDefinition-PostDirectional",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-PostDirectional"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/StructureDefinition-Practitioner-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-Practitioner-vr"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/StructureDefinition-PreDirectional",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-PreDirectional"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/StructureDefinition-RelatedPerson-father-natural-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-RelatedPerson-father-natural-vr"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/StructureDefinition-RelatedPerson-father-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-RelatedPerson-father-vr"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/StructureDefinition-RelatedPerson-mother-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-RelatedPerson-mother-vr"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/StructureDefinition-RelatedPerson-parent-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-RelatedPerson-parent-vr"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/StructureDefinition-StreetDesignator",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-StreetDesignator"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/StructureDefinition-StreetName",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-StreetName"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/StructureDefinition-StreetNumber",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-StreetNumber"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/StructureDefinition-UnitOrAptNumber",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-UnitOrAptNumber"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/StructureDefinition-coded-race-and-ethnicity-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-coded-race-and-ethnicity-vr"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/StructureDefinition-input-race-and-ethnicity-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-input-race-and-ethnicity-vr"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/ValueSet-ValueSet-birth-attendant-titles-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ValueSet-birth-attendant-titles-vr",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5151
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor'. 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: 2.1.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor' to 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor|3.0.0'"
            },
            "expression": [
              "ValueSet/ValueSet-birth-attendant-titles-vr: ValueSet.compose.include[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/ValueSet-ValueSet-birthplace-country-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ValueSet-birthplace-country-vr"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/ValueSet-ValueSet-coded-race-and-ethnicity-person-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ValueSet-coded-race-and-ethnicity-person-vr"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/ValueSet-ValueSet-date-of-birth-edit-flags-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ValueSet-date-of-birth-edit-flags-vr"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/ValueSet-ValueSet-education-level-person-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ValueSet-education-level-person-vr"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/ValueSet-ValueSet-education-level-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ValueSet-education-level-vr",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5147
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/v3-EducationLevel'. 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: 2.1.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/v3-EducationLevel' to 'http://terminology.hl7.org/CodeSystem/v3-EducationLevel|3.0.0'"
            },
            "expression": [
              "ValueSet/ValueSet-education-level-vr: ValueSet.compose.include[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5371
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/v2-0360'. 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 '2.1.0', found versions: 2.0.0, 2.1.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/v2-0360' to 'http://terminology.hl7.org/CodeSystem/v2-0360|2.1.0'"
            },
            "expression": [
              "ValueSet/ValueSet-education-level-vr: ValueSet.compose.include[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5483
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor'. 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: 2.1.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor' to 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor|3.0.0'"
            },
            "expression": [
              "ValueSet/ValueSet-education-level-vr: ValueSet.compose.include[2]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/ValueSet-ValueSet-father-relationship-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ValueSet-father-relationship-vr",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3514
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/v3-RoleCode'. 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: 2.2.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/v3-RoleCode' to 'http://terminology.hl7.org/CodeSystem/v3-RoleCode|3.0.0'"
            },
            "expression": [
              "ValueSet/ValueSet-father-relationship-vr: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/ValueSet-ValueSet-hispanic-origin-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ValueSet-hispanic-origin-vr"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/ValueSet-ValueSet-ije-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ValueSet-ije-vr",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "exception",
            "details": {
              "text": "Error from http://tx.fhir.org/r4: Unable to provide support for code system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr"
            },
            "expression": [
              "ValueSet.where(id = 'ValueSet-ije-vr')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/ValueSet-ValueSet-input-race-and-ethnicity-person-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ValueSet-input-race-and-ethnicity-person-vr"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/ValueSet-ValueSet-jurisdiction-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ValueSet-jurisdiction-vr"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/ValueSet-ValueSet-marital-status-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ValueSet-marital-status-vr",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4380
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/v3-MaritalStatus'. 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: 2.1.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/v3-MaritalStatus' to 'http://terminology.hl7.org/CodeSystem/v3-MaritalStatus|3.0.0'"
            },
            "expression": [
              "ValueSet/ValueSet-marital-status-vr: ValueSet.compose.include[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4492
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor'. 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: 2.1.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor' to 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor|3.0.0'"
            },
            "expression": [
              "ValueSet/ValueSet-marital-status-vr: ValueSet.compose.include[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/ValueSet-ValueSet-mother-relationship-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ValueSet-mother-relationship-vr",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3888
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/v3-RoleCode'. 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: 2.2.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/v3-RoleCode' to 'http://terminology.hl7.org/CodeSystem/v3-RoleCode|3.0.0'"
            },
            "expression": [
              "ValueSet/ValueSet-mother-relationship-vr: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/ValueSet-ValueSet-partial-date-data-absent-reason-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ValueSet-partial-date-data-absent-reason-vr",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2307
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/data-absent-reason'. 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 '1.0.0', found versions: 0.1.0, 1.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/data-absent-reason' to 'http://terminology.hl7.org/CodeSystem/data-absent-reason|1.0.0'"
            },
            "expression": [
              "ValueSet/ValueSet-partial-date-data-absent-reason-vr: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/ValueSet-ValueSet-plurality-edit-flags-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ValueSet-plurality-edit-flags-vr"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/ValueSet-ValueSet-race-code-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ValueSet-race-code-vr"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/ValueSet-ValueSet-race-missing-value-reason-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ValueSet-race-missing-value-reason-vr",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3561
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/v3-ActReason'. 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 '3.1.0', found versions: 2.1.0, 3.1.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/v3-ActReason' to 'http://terminology.hl7.org/CodeSystem/v3-ActReason|3.1.0'"
            },
            "expression": [
              "ValueSet/ValueSet-race-missing-value-reason-vr: ValueSet.compose.include[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3719
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor'. 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: 2.1.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor' to 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor|3.0.0'"
            },
            "expression": [
              "ValueSet/ValueSet-race-missing-value-reason-vr: ValueSet.compose.include[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/ValueSet-ValueSet-race-recode-40-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ValueSet-race-recode-40-vr"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/ValueSet-ValueSet-residence-country-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ValueSet-residence-country-vr"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/ValueSet-ValueSet-role-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ValueSet-role-vr",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2074
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/v3-RoleCode'. 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: 2.2.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/v3-RoleCode' to 'http://terminology.hl7.org/CodeSystem/v3-RoleCode|3.0.0'"
            },
            "expression": [
              "ValueSet/ValueSet-role-vr: ValueSet.compose.include[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/ValueSet-ValueSet-sex-assigned-at-birth-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ValueSet-sex-assigned-at-birth-vr",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3577
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender'. 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: 2.1.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender' to 'http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender|3.0.0'"
            },
            "expression": [
              "ValueSet/ValueSet-sex-assigned-at-birth-vr: ValueSet.compose.include[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3689
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor'. 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: 2.1.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor' to 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor|3.0.0'"
            },
            "expression": [
              "ValueSet/ValueSet-sex-assigned-at-birth-vr: ValueSet.compose.include[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/ValueSet-ValueSet-states-territories-provinces-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ValueSet-states-territories-provinces-vr",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14410
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "URL value 'https://canadapost.ca/CodeSystem/ProvinceCodes' does not resolve"
            },
            "expression": [
              "ValueSet/ValueSet-states-territories-provinces-vr: ValueSet.compose.include[1].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_UNC_SYSTEM_WARNING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "Unknown System 'https://canadapost.ca/CodeSystem/ProvinceCodes' specified, so Concepts and Filters can't be checked (Details: A definition for CodeSystem 'https://canadapost.ca/CodeSystem/ProvinceCodes' could not be found, so the code cannot be validated)"
            },
            "expression": [
              "ValueSet/ValueSet-states-territories-provinces-vr: ValueSet.compose.include[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15127
              },
              {
                "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 'ZZ' is not valid in the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr (Unable to evaluate based on code system with status = not-present)"
            },
            "expression": [
              "ValueSet/ValueSet-states-territories-provinces-vr: ValueSet.compose.include[2].concept[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15254
              },
              {
                "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 'XX' is not valid in the system http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr (A definition for CodeSystem 'http://hl7.org/fhir/us/vr-common-library/CodeSystem/codesystem-ije-vr' could not be found, so the code cannot be validated)"
            },
            "expression": [
              "ValueSet/ValueSet-states-territories-provinces-vr: ValueSet.compose.include[2].concept[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "exception",
            "details": {
              "text": "Error from http://tx.fhir.org/r4: Unable to provide support for code system https://canadapost.ca/CodeSystem/ProvinceCodes"
            },
            "expression": [
              "ValueSet.where(id = 'ValueSet-states-territories-provinces-vr')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/ValueSet-ValueSet-units-of-age-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ValueSet-units-of-age-vr",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3296
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor'. 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: 2.1.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor' to 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor|3.0.0'"
            },
            "expression": [
              "ValueSet/ValueSet-units-of-age-vr: ValueSet.compose.include[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/ValueSet-ValueSet-usstates-territories-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ValueSet-usstates-territories-vr"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/ValueSet-ValueSet-usstates-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ValueSet-usstates-vr"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/ValueSet-ValueSet-usterritories-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ValueSet-usterritories-vr"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/ValueSet-ValueSet-yes-no-not-applicable-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ValueSet-yes-no-not-applicable-vr",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2934
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor'. 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: 2.1.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor' to 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor|3.0.0'"
            },
            "expression": [
              "ValueSet/ValueSet-yes-no-not-applicable-vr: ValueSet.compose.include[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/ValueSet-ValueSet-yes-no-unknown-not-applicable-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ValueSet-yes-no-unknown-not-applicable-vr",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3704
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor'. 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: 2.1.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor' to 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor|3.0.0'"
            },
            "expression": [
              "ValueSet/ValueSet-yes-no-unknown-not-applicable-vr: ValueSet.compose.include[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/ValueSet-ValueSet-yes-no-unknown-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ValueSet-yes-no-unknown-vr",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3298
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "There are multiple different potential matches for the url 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor'. 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: 2.1.0, 3.0.0. Suggested fix: change the canonical reference from 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor' to 'http://terminology.hl7.org/CodeSystem/v3-NullFlavor|3.0.0'"
            },
            "expression": [
              "ValueSet/ValueSet-yes-no-unknown-vr: ValueSet.compose.include[1]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vr-common-library/OperationOutcome/ValueSet-valueset-edit-bypass-01234-vr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-valueset-edit-bypass-01234-vr"
      }
    }
  ]
}