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FHIR IG analytics

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

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Source1

{
  "resourceType": "Bundle",
  "type": "collection",
  "timestamp": "2024-10-23T21:58:58.798+00:00",
  "entry": [
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/ImplementationGuide-hl7.fhir.us.vrdr",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ImplementationGuide-hl7.fhir.us.vrdr"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Bundle-CauseOfDeathCodedContentBundle-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Bundle-CauseOfDeathCodedContentBundle-Example1",
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/CauseOfDeathCodedContentBundle-Example1: Bundle.entry[14].resource/*Observation/InjuryIncident-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 787
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/CauseOfDeathCodedContentBundle-Example1: Bundle.entry[16].resource/*Observation/CauseOfDeathPart1-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 843
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/CauseOfDeathCodedContentBundle-Example1: Bundle.entry[17].resource/*Observation/CauseOfDeathPart1-Example2*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 899
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/CauseOfDeathCodedContentBundle-Example1: Bundle.entry[18].resource/*Observation/CauseOfDeathPart2-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 931
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/CauseOfDeathCodedContentBundle-Example1: Bundle.entry[19].resource/*Observation/AutopsyPerformedIndicator-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 931
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/CauseOfDeathCodedContentBundle-Example1: Bundle.entry[19].resource/*Observation/AutopsyPerformedIndicator-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/CauseOfDeathCodedContentBundle-Example1: Bundle.entry[0].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/CauseOfDeathCodedContentBundle-Example1: Bundle.entry[0].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 64
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/CauseOfDeathCodedContentBundle-Example1: Bundle.entry[1].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 64
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/CauseOfDeathCodedContentBundle-Example1: Bundle.entry[1].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 96
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/CauseOfDeathCodedContentBundle-Example1: Bundle.entry[2].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 96
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/CauseOfDeathCodedContentBundle-Example1: Bundle.entry[2].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 128
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/CauseOfDeathCodedContentBundle-Example1: Bundle.entry[3].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 128
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/CauseOfDeathCodedContentBundle-Example1: Bundle.entry[3].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 173
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/CauseOfDeathCodedContentBundle-Example1: Bundle.entry[4].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 173
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/CauseOfDeathCodedContentBundle-Example1: Bundle.entry[4].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 229
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/CauseOfDeathCodedContentBundle-Example1: Bundle.entry[5].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 229
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/CauseOfDeathCodedContentBundle-Example1: Bundle.entry[5].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 285
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/CauseOfDeathCodedContentBundle-Example1: Bundle.entry[6].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 285
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/CauseOfDeathCodedContentBundle-Example1: Bundle.entry[6].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 352
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/CauseOfDeathCodedContentBundle-Example1: Bundle.entry[7].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 352
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/CauseOfDeathCodedContentBundle-Example1: Bundle.entry[7].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 419
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/CauseOfDeathCodedContentBundle-Example1: Bundle.entry[8].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 419
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/CauseOfDeathCodedContentBundle-Example1: Bundle.entry[8].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 514
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/CauseOfDeathCodedContentBundle-Example1: Bundle.entry[10].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 514
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/CauseOfDeathCodedContentBundle-Example1: Bundle.entry[10].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 561
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/CauseOfDeathCodedContentBundle-Example1: Bundle.entry[11].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 561
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/CauseOfDeathCodedContentBundle-Example1: Bundle.entry[11].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 595
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/CauseOfDeathCodedContentBundle-Example1: Bundle.entry[12].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 620
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/CauseOfDeathCodedContentBundle-Example1: Bundle.entry[13].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 658
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/CauseOfDeathCodedContentBundle-Example1: Bundle.entry[14].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 787
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/CauseOfDeathCodedContentBundle-Example1: Bundle.entry[16].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 843
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/CauseOfDeathCodedContentBundle-Example1: Bundle.entry[17].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 899
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/CauseOfDeathCodedContentBundle-Example1: Bundle.entry[18].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 931
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/CauseOfDeathCodedContentBundle-Example1: Bundle.entry[19].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 931
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/CauseOfDeathCodedContentBundle-Example1: Bundle.entry[19].resource"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Bundle-DeathCertificateDocument-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Bundle-DeathCertificateDocument-Example1",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 527
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[5].resource/*Observation/DecedentAge-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 527
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[5].resource/*Observation/DecedentAge-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 571
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[6].resource/*Observation/InputRaceAndEthnicity-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 571
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[6].resource/*Observation/InputRaceAndEthnicity-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 860
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[7].resource/*Observation/BirthRecordIdentifier-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 860
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[7].resource/*Observation/BirthRecordIdentifier-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 909
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[8].resource/*Observation/DecedentEducationLevel-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 909
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[8].resource/*Observation/DecedentEducationLevel-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 942
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[9].resource/*Observation/DecedentMilitaryService-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 942
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[9].resource/*Observation/DecedentMilitaryService-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 975
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[10].resource/*Observation/DecedentUsualWork-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 975
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[10].resource/*Observation/DecedentUsualWork-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1017
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[11].resource/*Observation/EmergingIssues-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1017
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[11].resource/*Observation/EmergingIssues-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1087
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[12].resource/*Observation/DecedentPregnancyStatus-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1087
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[12].resource/*Observation/DecedentPregnancyStatus-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1134
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[13].resource/*Observation/TobaccoUseContributedToDeath-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1134
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[13].resource/*Observation/TobaccoUseContributedToDeath-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1300
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[16].resource/*Observation/SurgeryDate-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1325
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[17].resource/*Observation/ExaminerContacted-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1325
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[17].resource/*Observation/ExaminerContacted-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1358
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[18].resource/*Observation/MannerOfDeath-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1456
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[21].resource/*Observation/InjuryIncident-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1630
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[24].resource/*Observation/CauseOfDeathPart1-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1686
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[25].resource/*Observation/CauseOfDeathPart1-Example2*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1742
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[26].resource/*Observation/CauseOfDeathPart2-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1851
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[29].resource/*Observation/DecedentDispositionMethod-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1889
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[30].resource/*Observation/AutopsyPerformedIndicator-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1889
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[30].resource/*Observation/AutopsyPerformedIndicator-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 527
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[5].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 527
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[5].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 571
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[6].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 571
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[6].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 860
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[7].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 860
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[7].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 909
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[8].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 909
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[8].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 942
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[9].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 942
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
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            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 975
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[10].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 975
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[10].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1017
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[11].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1017
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[11].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1087
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[12].resource"
            ]
          },
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[12].resource"
            ]
          },
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[13].resource"
            ]
          },
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[13].resource"
            ]
          },
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
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            ]
          },
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
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            "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",
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
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            ]
          },
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[18].resource"
            ]
          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1456
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[21].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1630
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[24].resource"
            ]
          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1686
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[25].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1742
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[26].resource"
            ]
          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[29].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1889
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[30].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1889
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example1: Bundle.entry[30].resource"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Bundle-DeathCertificateDocument-Example2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Bundle-DeathCertificateDocument-Example2",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 563
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[5].resource/*Observation/DecedentAge-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 563
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[5].resource/*Observation/DecedentAge-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 607
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[6].resource/*Observation/InputRaceAndEthnicity-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 607
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[6].resource/*Observation/InputRaceAndEthnicity-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 896
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[7].resource/*Observation/BirthRecordIdentifier-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 896
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[7].resource/*Observation/BirthRecordIdentifier-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 945
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[8].resource/*Observation/DecedentEducationLevel-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 945
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[8].resource/*Observation/DecedentEducationLevel-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 978
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[9].resource/*Observation/DecedentMilitaryService-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 978
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[9].resource/*Observation/DecedentMilitaryService-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1011
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[10].resource/*Observation/DecedentUsualWork-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1011
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[10].resource/*Observation/DecedentUsualWork-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1053
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[11].resource/*Observation/EmergingIssues-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1053
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[11].resource/*Observation/EmergingIssues-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1123
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[12].resource/*Observation/DecedentPregnancyStatus-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1123
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[12].resource/*Observation/DecedentPregnancyStatus-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1170
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[13].resource/*Observation/TobaccoUseContributedToDeath-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1170
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[13].resource/*Observation/TobaccoUseContributedToDeath-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1344
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[16].resource/*Observation/SurgeryDate-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1369
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[17].resource/*Observation/ExaminerContacted-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1369
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[17].resource/*Observation/ExaminerContacted-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1402
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[18].resource/*Observation/MannerOfDeath-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1500
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[21].resource/*Observation/InjuryIncident-Example2*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1673
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[24].resource/*Observation/CauseOfDeathPart1-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1729
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[25].resource/*Observation/CauseOfDeathPart1-Example2*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1785
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[26].resource/*Observation/CauseOfDeathPart2-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1894
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[29].resource/*Observation/DecedentDispositionMethod-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1932
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[30].resource/*Observation/AutopsyPerformedIndicator-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1932
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[30].resource/*Observation/AutopsyPerformedIndicator-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2020
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[32].resource/*Observation/ActivityAtTimeOfDeath-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2020
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[32].resource/*Observation/ActivityAtTimeOfDeath-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2053
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[33].resource/*Observation/CodedRaceAndEthnicity-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2053
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[33].resource/*Observation/CodedRaceAndEthnicity-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2174
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[34].resource/*Observation/ManualUnderlyingCauseOfDeath-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2174
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[34].resource/*Observation/ManualUnderlyingCauseOfDeath-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2206
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[35].resource/*Observation/AutomatedUnderlyingCauseOfDeath-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2206
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[35].resource/*Observation/AutomatedUnderlyingCauseOfDeath-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2238
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[36].resource/*Observation/RecordAxisCauseOfDeath-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2238
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[36].resource/*Observation/RecordAxisCauseOfDeath-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2283
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[37].resource/*Observation/EntityAxisCauseOfDeath-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2283
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[37].resource/*Observation/EntityAxisCauseOfDeath-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2339
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[38].resource/*Observation/PlaceOfInjury-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 2339
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[38].resource/*Observation/PlaceOfInjury-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 563
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[5].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 563
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[5].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 607
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[6].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 607
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[6].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 896
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[7].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 896
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
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            ]
          },
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 945
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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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[8].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 945
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[8].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 978
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[9].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 978
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
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            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1011
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[10].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1011
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[10].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1053
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[11].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1053
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[11].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1123
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[12].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1123
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[12].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1170
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[13].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[13].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1344
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-Example2: Bundle.entry[17].resource"
            ]
          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
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            "expression": [
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-UT-1: Bundle.entry[9].resource/*Observation/EducationUT-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 897
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-UT-1: Bundle.entry[9].resource/*Observation/EducationUT-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 945
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-UT-1: Bundle.entry[10].resource/*Observation/PregnancyUT-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 945
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-UT-1: Bundle.entry[10].resource/*Observation/PregnancyUT-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 992
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-UT-1: Bundle.entry[11].resource/*Observation/AutopsyPerformedIndicatorUT-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 992
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-UT-1: Bundle.entry[11].resource/*Observation/AutopsyPerformedIndicatorUT-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1046
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-UT-1: Bundle.entry[12].resource/*Observation/CauseOfDeathPart1UT-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1215
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-UT-1: Bundle.entry[15].resource/*Observation/MannerOfDeathUT-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1253
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-UT-1: Bundle.entry[16].resource/*Observation/TobaccoUseUT-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1253
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-UT-1: Bundle.entry[16].resource/*Observation/TobaccoUseUT-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1287
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-UT-1: Bundle.entry[17].resource/*Observation/InjuryIncidentUT-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1287
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-UT-1: Bundle.entry[17].resource/*Observation/InjuryIncidentUT-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1332
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-UT-1: Bundle.entry[18].resource/*Observation/EmergingIssuesUT-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1332
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-UT-1: Bundle.entry[18].resource/*Observation/EmergingIssuesUT-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1425
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-UT-1: Bundle.entry[21].resource/*Observation/MilitaryServiceUT-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1425
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-UT-1: Bundle.entry[21].resource/*Observation/MilitaryServiceUT-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1458
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-UT-1: Bundle.entry[22].resource/*Observation/AgeUT-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1458
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-UT-1: Bundle.entry[22].resource/*Observation/AgeUT-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1502
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-UT-1: Bundle.entry[23].resource/*Observation/UsualWorkUT-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1502
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-UT-1: Bundle.entry[23].resource/*Observation/UsualWorkUT-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1544
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-UT-1: Bundle.entry[24].resource/*Observation/DispositionMethodUT-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1544
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-UT-1: Bundle.entry[24].resource/*Observation/DispositionMethodUT-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 570
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-UT-1: Bundle.entry[7].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 570
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-UT-1: Bundle.entry[7].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 848
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-UT-1: Bundle.entry[8].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 848
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-UT-1: Bundle.entry[8].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 897
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-UT-1: Bundle.entry[9].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 897
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-UT-1: Bundle.entry[9].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 945
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-UT-1: Bundle.entry[10].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 945
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-UT-1: Bundle.entry[10].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 992
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-UT-1: Bundle.entry[11].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 992
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-UT-1: Bundle.entry[11].resource"
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          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1046
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-UT-1: Bundle.entry[12].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1215
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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"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
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            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1253
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-UT-1: Bundle.entry[16].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1253
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-UT-1: Bundle.entry[16].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1287
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-UT-1: Bundle.entry[17].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1287
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
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            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1332
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
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            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1425
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-UT-1: Bundle.entry[21].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1425
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-UT-1: Bundle.entry[21].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1458
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-UT-1: Bundle.entry[22].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1458
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-UT-1: Bundle.entry[22].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1502
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-UT-1: Bundle.entry[23].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1502
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-UT-1: Bundle.entry[23].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1544
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-UT-1: Bundle.entry[24].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1544
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DeathCertificateDocument-UT-1: Bundle.entry[24].resource"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Bundle-DemographicCodedContentBundle-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Bundle-DemographicCodedContentBundle-Example1",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DemographicCodedContentBundle-Example1: Bundle.entry[0].resource/*Observation/InputRaceAndEthnicity-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DemographicCodedContentBundle-Example1: Bundle.entry[0].resource/*Observation/InputRaceAndEthnicity-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 320
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DemographicCodedContentBundle-Example1: Bundle.entry[1].resource/*Observation/CodedRaceAndEthnicity-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 320
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DemographicCodedContentBundle-Example1: Bundle.entry[1].resource/*Observation/CodedRaceAndEthnicity-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DemographicCodedContentBundle-Example1: Bundle.entry[0].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DemographicCodedContentBundle-Example1: Bundle.entry[0].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 320
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/DemographicCodedContentBundle-Example1: Bundle.entry[1].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 320
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/DemographicCodedContentBundle-Example1: Bundle.entry[1].resource"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Bundle-IndustryOccupationCodedContentBundle-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Bundle-IndustryOccupationCodedContentBundle-Example1",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/IndustryOccupationCodedContentBundle-Example1: Bundle.entry[0].resource/*Observation/DecedentUsualWork-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/IndustryOccupationCodedContentBundle-Example1: Bundle.entry[0].resource/*Observation/DecedentUsualWork-Example1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/IndustryOccupationCodedContentBundle-Example1: Bundle.entry[0].resource"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 31
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_an_effectiveDateTime_or_an_effectivePeriod"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have an effective[x] ()"
            },
            "expression": [
              "Bundle/IndustryOccupationCodedContentBundle-Example1: Bundle.entry[0].resource"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Bundle-MortalityRosterBundle-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Bundle-MortalityRosterBundle-Example1",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 195
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/MortalityRosterBundle-Example1: Bundle.entry[3].resource/*Observation/DeathDate-Example3*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 195
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_performer"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a performer"
            },
            "expression": [
              "Bundle/MortalityRosterBundle-Example1: Bundle.entry[3].resource"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/CodeSystem-CodeSystem-death-pregnancy-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-CodeSystem-death-pregnancy-status"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/CodeSystem-vrdr-activity-at-time-of-death-cs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-vrdr-activity-at-time-of-death-cs"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/CodeSystem-vrdr-component-cs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-vrdr-component-cs"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/CodeSystem-vrdr-date-of-death-determination-methods-cs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-vrdr-date-of-death-determination-methods-cs"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/CodeSystem-vrdr-document-section-cs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-vrdr-document-section-cs"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/CodeSystem-vrdr-filing-format-cs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-vrdr-filing-format-cs"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/CodeSystem-vrdr-intentional-reject-cs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-vrdr-intentional-reject-cs"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/CodeSystem-vrdr-location-type-cs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-vrdr-location-type-cs"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/CodeSystem-vrdr-observations-cs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-vrdr-observations-cs"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/CodeSystem-vrdr-organization-type-cs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-vrdr-organization-type-cs"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/CodeSystem-vrdr-replace-status-cs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-vrdr-replace-status-cs"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/CodeSystem-vrdr-system-placeofinjury-cs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-vrdr-system-placeofinjury-cs"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/CodeSystem-vrdr-system-reject-cs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-vrdr-system-reject-cs"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/CodeSystem-vrdr-transax-conversion-cs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-vrdr-transax-conversion-cs"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Composition-DeathCertificate-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Composition-DeathCertificate-Example1"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Composition-DeathCertificate-Example2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Composition-DeathCertificate-Example2"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Composition-DeathCertificateUT-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Composition-DeathCertificateUT-Example1"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/ConceptMap-ActivityAtTimeOfDeathCM",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-ActivityAtTimeOfDeathCM",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5535
              },
              {
                "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/ActivityAtTimeOfDeathCM: 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": 4377
              },
              {
                "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/ActivityAtTimeOfDeathCM: 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": 4531
              },
              {
                "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/ActivityAtTimeOfDeathCM: 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": 4693
              },
              {
                "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/ActivityAtTimeOfDeathCM: 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": 4831
              },
              {
                "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/ActivityAtTimeOfDeathCM: 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": 4993
              },
              {
                "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/ActivityAtTimeOfDeathCM: 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": 5223
              },
              {
                "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/ActivityAtTimeOfDeathCM: 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": 5401
              },
              {
                "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/ActivityAtTimeOfDeathCM: ConceptMap.group[0].element[6].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/ConceptMap-AdministrativeGenderCM",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-AdministrativeGenderCM",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3372
              },
              {
                "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/AdministrativeGenderCM: 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": 3064
              },
              {
                "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/AdministrativeGenderCM: 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": 3165
              },
              {
                "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/AdministrativeGenderCM: 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": 3272
              },
              {
                "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/AdministrativeGenderCM: ConceptMap.group[0].element[2].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/ConceptMap-CertifierTypesCM",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-CertifierTypesCM",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4265
              },
              {
                "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/CertifierTypesCM: 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": 4570
              },
              {
                "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/CertifierTypesCM: 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": 3803
              },
              {
                "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/CertifierTypesCM: 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": 3948
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'P' 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/CertifierTypesCM: 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": 4123
              },
              {
                "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/CertifierTypesCM: 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": 4440
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'freetext' 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/CertifierTypesCM: ConceptMap.group[1].element[0].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/ConceptMap-ContributoryTobaccoUseCM",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-ContributoryTobaccoUseCM",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4227
              },
              {
                "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/ContributoryTobaccoUseCM: 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": 4613
              },
              {
                "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/ContributoryTobaccoUseCM: 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": 3919
              },
              {
                "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/ContributoryTobaccoUseCM: 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": 4023
              },
              {
                "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/ContributoryTobaccoUseCM: 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": 4125
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'P' 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/ContributoryTobaccoUseCM: 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": 4395
              },
              {
                "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/ContributoryTobaccoUseCM: 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": 4501
              },
              {
                "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/ContributoryTobaccoUseCM: ConceptMap.group[1].element[1].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/ConceptMap-DeathPregnancyStatusCM",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-DeathPregnancyStatusCM",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5686
              },
              {
                "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/DeathPregnancyStatusCM: 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": 5963
              },
              {
                "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/DeathPregnancyStatusCM: 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": 4700
              },
              {
                "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/DeathPregnancyStatusCM: 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": 4848
              },
              {
                "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/DeathPregnancyStatusCM: 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": 4988
              },
              {
                "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/DeathPregnancyStatusCM: 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": 5178
              },
              {
                "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/DeathPregnancyStatusCM: 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": 5382
              },
              {
                "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/DeathPregnancyStatusCM: 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": 5526
              },
              {
                "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/DeathPregnancyStatusCM: 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": 5854
              },
              {
                "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/DeathPregnancyStatusCM: ConceptMap.group[1].element[0].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/ConceptMap-EditBypass0124CM",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-EditBypass0124CM",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4066
              },
              {
                "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/EditBypass0124CM: ConceptMap.group[0].source"
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                "valueString": "InstanceValidator"
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            "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'"
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              {
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                "valueString": "InstanceValidator"
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            "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'"
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                "valueString": "InstanceValidator"
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            "severity": "warning",
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            "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'"
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                "valueString": "InstanceValidator"
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            "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'"
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
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              "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'"
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            "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'"
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              "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'"
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                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
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              "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'"
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              {
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            "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'"
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    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/ConceptMap-FilingFormatCM",
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        "resourceType": "OperationOutcome",
        "id": "ConceptMap-FilingFormatCM",
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              {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
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            "code": "not-found",
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              "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'"
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              {
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                "valueString": "InstanceValidator"
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            "code": "business-rule",
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              "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'"
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              {
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                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
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            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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            "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'"
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              {
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              {
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                "valueString": "InstanceValidator"
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            ],
            "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'"
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              {
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                "valueString": "InstanceValidator"
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            "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'"
            },
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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            ],
            "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'"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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            "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'"
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          {
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              {
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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            ],
            "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'"
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        "id": "ConceptMap-MannerOfDeathCM",
        "issue": [
          {
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
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                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
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            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
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            "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/MannerOfDeathCM: 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": 3822
              },
              {
                "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/MannerOfDeathCM: 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": 3942
              },
              {
                "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/MannerOfDeathCM: 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": 4053
              },
              {
                "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/MannerOfDeathCM: 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": 4166
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'P' 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/MannerOfDeathCM: 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": 4315
              },
              {
                "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/MannerOfDeathCM: ConceptMap.group[0].element[5].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/ConceptMap-MethodOfDispositionCM",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-MethodOfDispositionCM",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4970
              },
              {
                "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/MethodOfDispositionCM: 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": 5336
              },
              {
                "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/MethodOfDispositionCM: 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": 4358
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'B' 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/MethodOfDispositionCM: 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": 4474
              },
              {
                "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/MethodOfDispositionCM: 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": 4596
              },
              {
                "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/MethodOfDispositionCM: 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": 4716
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'E' 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/MethodOfDispositionCM: 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": 4840
              },
              {
                "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/MethodOfDispositionCM: 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": 5138
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'O' 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/MethodOfDispositionCM: 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": 5240
              },
              {
                "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/MethodOfDispositionCM: ConceptMap.group[1].element[1].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/ConceptMap-PlaceOfDeathCM",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-PlaceOfDeathCM",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 5569
              },
              {
                "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/PlaceOfDeathCM: 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": 5935
              },
              {
                "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/PlaceOfDeathCM: 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": 4663
              },
              {
                "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/PlaceOfDeathCM: 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": 4786
              },
              {
                "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/PlaceOfDeathCM: 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": 4984
              },
              {
                "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/PlaceOfDeathCM: 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": 5123
              },
              {
                "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/PlaceOfDeathCM: 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": 5255
              },
              {
                "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/PlaceOfDeathCM: 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": 5391
              },
              {
                "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/PlaceOfDeathCM: 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": 5737
              },
              {
                "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/PlaceOfDeathCM: 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": 5839
              },
              {
                "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/PlaceOfDeathCM: ConceptMap.group[1].element[1].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/ConceptMap-PlaceOfInjuryCM",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-PlaceOfInjuryCM",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6311
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
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            ],
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            "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"
            },
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                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
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            "severity": "warning",
            "code": "not-found",
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              "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'"
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            "code": "business-rule",
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              "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'"
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              "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'"
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              "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'"
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                "valueString": "InstanceValidator"
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            "code": "business-rule",
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              "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'"
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                "valueString": "InstanceValidator"
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            "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'"
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                "valueString": "InstanceValidator"
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            "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'"
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              "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'"
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            "code": "business-rule",
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                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
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            "code": "not-found",
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                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
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            ],
            "severity": "warning",
            "code": "not-found",
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              "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"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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            "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'"
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                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
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                "valueString": "InstanceValidator"
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            ],
            "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'"
            },
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              {
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                "valueString": "InstanceValidator"
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            "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": [
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              {
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                "valueString": "InstanceValidator"
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            "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'"
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            "expression": [
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    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/ConceptMap-SystemRejectCM",
      "resource": {
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        "id": "ConceptMap-SystemRejectCM",
        "issue": [
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              {
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                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_INCOMPLETE"
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            ],
            "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"
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            "expression": [
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                "valueString": "InstanceValidator"
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            "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'"
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                "valueString": "InstanceValidator"
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            "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/SystemRejectCM: 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": 3772
              },
              {
                "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/SystemRejectCM: 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": 3884
              },
              {
                "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/SystemRejectCM: ConceptMap.group[0].element[3].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4032
              },
              {
                "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/SystemRejectCM: ConceptMap.group[0].element[4].code"
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        ]
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    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/ConceptMap-TransaxConversionCM",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-TransaxConversionCM",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4317
              },
              {
                "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/TransaxConversionCM: ConceptMap.group[0].source"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3587
              },
              {
                "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/TransaxConversionCM: 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": 3767
              },
              {
                "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/TransaxConversionCM: 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": 3939
              },
              {
                "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/TransaxConversionCM: 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": 4151
              },
              {
                "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/TransaxConversionCM: ConceptMap.group[0].element[3].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/ConceptMap-TransportationIncidentRoleCM",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-TransportationIncidentRoleCM",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4597
              },
              {
                "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/TransportationIncidentRoleCM: 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": 5095
              },
              {
                "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/TransportationIncidentRoleCM: 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": 4225
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'DR' 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/TransportationIncidentRoleCM: 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": 4353
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'PA' 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/TransportationIncidentRoleCM: 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": 4484
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'PE' 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/TransportationIncidentRoleCM: 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": 4769
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'blank' 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/TransportationIncidentRoleCM: 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": 4883
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'blank' 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/TransportationIncidentRoleCM: 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": 4994
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The code 'freetext' 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/TransportationIncidentRoleCM: ConceptMap.group[1].element[2].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Location-DeathLocation-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Location-DeathLocation-Example1"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Location-DeathLocation-Example2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Location-DeathLocation-Example2"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Location-DeathLocation-Example3",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Location-DeathLocation-Example3"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Location-DeathLocationUT-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Location-DeathLocationUT-Example1"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Location-DispositionLocation-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Location-DispositionLocation-Example1"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Location-DispositionLocationUT-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Location-DispositionLocationUT-Example1"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Location-InjuryLocation-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Location-InjuryLocation-Example1"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Location-location-death-vr-atlanta-ga-a-freeman",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Location-location-death-vr-atlanta-ga-a-freeman"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Location-location-injury-vr-atlanta-ga-a-freeman",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Location-location-injury-vr-atlanta-ga-a-freeman"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Observation-ActivityAtTimeOfDeath-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ActivityAtTimeOfDeath-Example1",
        "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/ActivityAtTimeOfDeath-Example1: 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/ActivityAtTimeOfDeath-Example1: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Observation-AgeUT-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-AgeUT-Example1",
        "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/AgeUT-Example1: 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/AgeUT-Example1: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Observation-AutomatedUnderlyingCauseOfDeath-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-AutomatedUnderlyingCauseOfDeath-Example1",
        "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/AutomatedUnderlyingCauseOfDeath-Example1: 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/AutomatedUnderlyingCauseOfDeath-Example1: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Observation-AutopsyPerformedIndicator-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-AutopsyPerformedIndicator-Example1",
        "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/AutopsyPerformedIndicator-Example1: 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/AutopsyPerformedIndicator-Example1: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Observation-AutopsyPerformedIndicatorUT-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-AutopsyPerformedIndicatorUT-Example1",
        "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/AutopsyPerformedIndicatorUT-Example1: 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/AutopsyPerformedIndicatorUT-Example1: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Observation-BirthRecordIdentifier-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-BirthRecordIdentifier-Example1",
        "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/BirthRecordIdentifier-Example1: 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/BirthRecordIdentifier-Example1: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Observation-BirthRecordIdentifierChild-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-BirthRecordIdentifierChild-Example1",
        "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/BirthRecordIdentifierChild-Example1: 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/BirthRecordIdentifierChild-Example1: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Observation-BirthRecordIdentifierUT-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-BirthRecordIdentifierUT-Example1",
        "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/BirthRecordIdentifierUT-Example1: 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/BirthRecordIdentifierUT-Example1: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Observation-CauseOfDeathPart1-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-CauseOfDeathPart1-Example1",
        "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_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/CauseOfDeathPart1-Example1: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Observation-CauseOfDeathPart1-Example2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-CauseOfDeathPart1-Example2",
        "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_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/CauseOfDeathPart1-Example2: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Observation-CauseOfDeathPart1UT-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-CauseOfDeathPart1UT-Example1",
        "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_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/CauseOfDeathPart1UT-Example1: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Observation-CauseOfDeathPart2-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-CauseOfDeathPart2-Example1",
        "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_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/CauseOfDeathPart2-Example1: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Observation-CodedRaceAndEthnicity-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-CodedRaceAndEthnicity-Example1",
        "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/CodedRaceAndEthnicity-Example1: 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/CodedRaceAndEthnicity-Example1: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Observation-DeathDate-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-DeathDate-Example1"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Observation-DeathDate-Example2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-DeathDate-Example2"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Observation-DeathDate-Example3",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-DeathDate-Example3",
        "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/DeathDate-Example3: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Observation-DeathDate-Example4",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-DeathDate-Example4"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Observation-DeathDateUT-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-DeathDateUT-Example1"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Observation-DecedentAge-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-DecedentAge-Example1",
        "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/DecedentAge-Example1: 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/DecedentAge-Example1: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Observation-DecedentDispositionMethod-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-DecedentDispositionMethod-Example1",
        "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_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/DecedentDispositionMethod-Example1: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Observation-DecedentEducationLevel-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-DecedentEducationLevel-Example1",
        "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/DecedentEducationLevel-Example1: 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/DecedentEducationLevel-Example1: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Observation-DecedentMilitaryService-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-DecedentMilitaryService-Example1",
        "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/DecedentMilitaryService-Example1: 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/DecedentMilitaryService-Example1: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Observation-DecedentPregnancyStatus-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-DecedentPregnancyStatus-Example1",
        "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/DecedentPregnancyStatus-Example1: 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/DecedentPregnancyStatus-Example1: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Observation-DecedentUsualWork-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-DecedentUsualWork-Example1",
        "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/DecedentUsualWork-Example1: 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/DecedentUsualWork-Example1: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Observation-DecedentUsualWork-Example2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-DecedentUsualWork-Example2",
        "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/DecedentUsualWork-Example2: 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/DecedentUsualWork-Example2: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Observation-DispositionMethodUT-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-DispositionMethodUT-Example1",
        "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/DispositionMethodUT-Example1: 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/DispositionMethodUT-Example1: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Observation-EducationUT-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-EducationUT-Example1",
        "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/EducationUT-Example1: 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/EducationUT-Example1: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Observation-EmergingIssues-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-EmergingIssues-Example1",
        "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/EmergingIssues-Example1: 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/EmergingIssues-Example1: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Observation-EmergingIssuesUT-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-EmergingIssuesUT-Example1",
        "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/EmergingIssuesUT-Example1: 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/EmergingIssuesUT-Example1: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Observation-EntityAxisCauseOfDeath-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-EntityAxisCauseOfDeath-Example1",
        "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/EntityAxisCauseOfDeath-Example1: 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/EntityAxisCauseOfDeath-Example1: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Observation-EntityAxisCauseOfDeath-Example2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-EntityAxisCauseOfDeath-Example2",
        "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/EntityAxisCauseOfDeath-Example2: 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/EntityAxisCauseOfDeath-Example2: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Observation-EntityAxisCauseOfDeath-Example3",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-EntityAxisCauseOfDeath-Example3",
        "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/EntityAxisCauseOfDeath-Example3: 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/EntityAxisCauseOfDeath-Example3: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Observation-EntityAxisCauseOfDeath-Example4",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-EntityAxisCauseOfDeath-Example4",
        "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/EntityAxisCauseOfDeath-Example4: 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/EntityAxisCauseOfDeath-Example4: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Observation-ExaminerContacted-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ExaminerContacted-Example1",
        "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/ExaminerContacted-Example1: 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/ExaminerContacted-Example1: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Observation-ExaminerContactedUT-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ExaminerContactedUT-Example1",
        "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/ExaminerContactedUT-Example1: 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/ExaminerContactedUT-Example1: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Observation-FetalDeathRecordIdentifier-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-FetalDeathRecordIdentifier-Example1",
        "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/FetalDeathRecordIdentifier-Example1: 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/FetalDeathRecordIdentifier-Example1: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Observation-InjuryIncident-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-InjuryIncident-Example1",
        "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/InjuryIncident-Example1: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Observation-InjuryIncident-Example2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-InjuryIncident-Example2",
        "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/InjuryIncident-Example2: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Observation-InjuryIncidentUT-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-InjuryIncidentUT-Example1",
        "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/InjuryIncidentUT-Example1: 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/InjuryIncidentUT-Example1: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Observation-InputRaceAndEthnicity-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-InputRaceAndEthnicity-Example1",
        "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/InputRaceAndEthnicity-Example1: 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/InputRaceAndEthnicity-Example1: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Observation-InputRaceAndEthnicityUT-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-InputRaceAndEthnicityUT-Example1",
        "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/InputRaceAndEthnicityUT-Example1: 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/InputRaceAndEthnicityUT-Example1: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Observation-MannerOfDeath-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-MannerOfDeath-Example1",
        "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_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/MannerOfDeath-Example1: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Observation-MannerOfDeathUT-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-MannerOfDeathUT-Example1",
        "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_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/MannerOfDeathUT-Example1: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Observation-ManualUnderlyingCauseOfDeath-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-ManualUnderlyingCauseOfDeath-Example1",
        "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/ManualUnderlyingCauseOfDeath-Example1: 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/ManualUnderlyingCauseOfDeath-Example1: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Observation-MilitaryServiceUT-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-MilitaryServiceUT-Example1",
        "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/MilitaryServiceUT-Example1: 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/MilitaryServiceUT-Example1: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Observation-PlaceOfInjury-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-PlaceOfInjury-Example1",
        "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/PlaceOfInjury-Example1: 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/PlaceOfInjury-Example1: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Observation-PregnancyUT-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-PregnancyUT-Example1",
        "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/PregnancyUT-Example1: 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/PregnancyUT-Example1: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Observation-RecordAxisCauseOfDeath-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-RecordAxisCauseOfDeath-Example1",
        "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/RecordAxisCauseOfDeath-Example1: 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/RecordAxisCauseOfDeath-Example1: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Observation-RecordAxisCauseOfDeath-Example2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-RecordAxisCauseOfDeath-Example2",
        "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/RecordAxisCauseOfDeath-Example2: 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/RecordAxisCauseOfDeath-Example2: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Observation-SurgeryDate-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-SurgeryDate-Example1",
        "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/SurgeryDate-Example1: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Observation-TobaccoUseContributedToDeath-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-TobaccoUseContributedToDeath-Example1",
        "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/TobaccoUseContributedToDeath-Example1: 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/TobaccoUseContributedToDeath-Example1: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Observation-TobaccoUseUT-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-TobaccoUseUT-Example1",
        "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/TobaccoUseUT-Example1: 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/TobaccoUseUT-Example1: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Observation-UsualWorkUT-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-UsualWorkUT-Example1",
        "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/UsualWorkUT-Example1: 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/UsualWorkUT-Example1: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Organization-FuneralHome-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Organization-FuneralHome-Example1"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Organization-FuneralHomeUT-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Organization-FuneralHomeUT-Example1"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Parameters-CodingStatusValues-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Parameters-CodingStatusValues-Example1"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Patient-Decedent-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Patient-Decedent-Example1"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Patient-Decedent-Example2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Patient-Decedent-Example2"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Patient-Decedent-Example3",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Patient-Decedent-Example3"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Patient-DecedentUT-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Patient-DecedentUT-Example1"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Patient-us-core-patient-vr-a-freeman",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Patient-us-core-patient-vr-a-freeman"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Practitioner-Certifier-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Practitioner-Certifier-Example1"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Practitioner-Certifier-Example2-no-NPI",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Practitioner-Certifier-Example2-no-NPI"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Practitioner-Mortician-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Practitioner-Mortician-Example1"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Practitioner-PractitionerUT-Certifier",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Practitioner-PractitionerUT-Certifier"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Practitioner-PractitionerUT-Pronouncer",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Practitioner-PractitionerUT-Pronouncer"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Practitioner-Pronouncer-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Practitioner-Pronouncer-Example1"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Practitioner-practitioner-vital-records-janet-seito",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Practitioner-practitioner-vital-records-janet-seito"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Procedure-DeathCertification-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-DeathCertification-Example1"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Procedure-DeathCertification-Example2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-DeathCertification-Example2"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Procedure-ProcedureDeathCertificationUT-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-ProcedureDeathCertificationUT-Example1"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/Procedure-procedure-death-certification-vr-a-freeman",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Procedure-procedure-death-certification-vr-a-freeman"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/RelatedPerson-DecedentFather-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "RelatedPerson-DecedentFather-Example1"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/RelatedPerson-DecedentMother-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "RelatedPerson-DecedentMother-Example1"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/RelatedPerson-DecedentSpouse-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "RelatedPerson-DecedentSpouse-Example1"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/RelatedPerson-FatherUT-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "RelatedPerson-FatherUT-Example1"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/RelatedPerson-MotherUT-Example1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "RelatedPerson-MotherUT-Example1"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/StructureDefinition-AliasStatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-AliasStatus"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/StructureDefinition-FilingFormat",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-FilingFormat"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/StructureDefinition-NVSS-SexAtDeath",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-NVSS-SexAtDeath"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/StructureDefinition-ReplaceStatus",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-ReplaceStatus"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/StructureDefinition-SpouseAlive",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-SpouseAlive"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/StructureDefinition-StateSpecificField",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-StateSpecificField"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/StructureDefinition-industry-occupation-coded-content-bundle",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-industry-occupation-coded-content-bundle"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/StructureDefinition-practitioner-role",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-practitioner-role"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/StructureDefinition-vrdr-activity-at-time-of-death",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-vrdr-activity-at-time-of-death"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/StructureDefinition-vrdr-automated-underlying-cause-of-death",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-vrdr-automated-underlying-cause-of-death"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/StructureDefinition-vrdr-autopsy-performed-indicator",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-vrdr-autopsy-performed-indicator"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/StructureDefinition-vrdr-birth-record-identifier-child",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-vrdr-birth-record-identifier-child"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/us/vrdr/OperationOutcome/StructureDefinition-vrdr-birth-record-identifier",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-vrdr-birth-record-identifier"
      }
    },
    {
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