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Packagehl7.fhir.uv.clinical-study-protocol
Resource TypeBundle
Idvalidation-oo.json
FHIR VersionR6

Resources that use this resource

No resources found


Resources that this resource uses

No resources found


Narrative

No narrative content found in resource


Source1

{
  "resourceType": "Bundle",
  "type": "collection",
  "timestamp": "2026-02-10T16:53:05.241+00:00",
  "entry": [
    {
      "fullUrl": "http://hl7.org/fhir/uv/clinical-study-protocol/OperationOutcome/ImplementationGuide-hl7.fhir.uv.clinical-study-protocol",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ImplementationGuide-hl7.fhir.uv.clinical-study-protocol",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2099
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "IG_DEPENDENCY_VERSION_ERROR"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The ImplementationGuide is based on FHIR version 6.0.0-ballot3 but package hl7.fhir.uv.extensions#dev is based on FHIR version 5.0.0. Use the package hl7.fhir.uv.extensions.r6 instead"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.uv.clinical-study-protocol: ImplementationGuide.dependsOn[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2243
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "IG_DEPENDENCY_VERSION_ERROR"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "The ImplementationGuide is based on FHIR version 6.0.0-ballot3 but package hl7.terminology#7.0.1 is based on FHIR version 5.0.0. Use the package hl7.terminology.r6 instead"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.uv.clinical-study-protocol: ImplementationGuide.dependsOn[1]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2383
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "IG_DEPENDENCY_VERSION_WARNING"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The ImplementationGuide is based on FHIR version 6.0.0-ballot3 but package hl7.fhir.uv.ebm#1.0.0-ballot2 is based on FHIR version 6.0.0-ballot2. In general, this version mismatch should be avoided - some tools will try to make this work with variable degrees of success, but others will not even try"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.uv.clinical-study-protocol: ImplementationGuide.dependsOn[2]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/clinical-study-protocol/OperationOutcome/CodeSystem-narrative-elements-cs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-narrative-elements-cs"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/clinical-study-protocol/OperationOutcome/Composition-IGBJ-Narrative-1.3",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Composition-IGBJ-Narrative-1.3",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 26
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'C218519' in the CodeSystem 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Composition/IGBJ-Narrative-1.3: Composition.section[0].code.coding[0].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/clinical-study-protocol/OperationOutcome/Composition-IGBJ-Narrative-2.1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Composition-IGBJ-Narrative-2.1",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 26
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'C218521' in the CodeSystem 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Composition/IGBJ-Narrative-2.1: Composition.section[0].code.coding[0].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/clinical-study-protocol/OperationOutcome/Composition-IGBJ-Narrative-5.1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Composition-IGBJ-Narrative-5.1",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 26
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'C218548' in the CodeSystem 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Composition/IGBJ-Narrative-5.1: Composition.section[0].code.coding[0].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/clinical-study-protocol/OperationOutcome/Composition-IGBJ-Narrative-9",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Composition-IGBJ-Narrative-9",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 26
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'C218608' in the CodeSystem 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Composition/IGBJ-Narrative-9: Composition.section[0].code.coding[0].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/clinical-study-protocol/OperationOutcome/Composition-IGBJ-Narrative",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Composition-IGBJ-Narrative",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 26
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'C218519' in the CodeSystem 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Composition/IGBJ-Narrative: Composition.section[0].code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 41
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'C218548' in the CodeSystem 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Composition/IGBJ-Narrative: Composition.section[1].code.coding[0].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/clinical-study-protocol/OperationOutcome/Composition-JPMA0001-Section5-jpn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Composition-JPMA0001-Section5-jpn",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 26
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'C218549' in the CodeSystem 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Composition/JPMA0001-Section5-jpn: Composition.section[0].code.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 41
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'C218550' in the CodeSystem 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Composition/JPMA0001-Section5-jpn: Composition.section[1].code.coding[0].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/clinical-study-protocol/OperationOutcome/Group-DIBASY-Eligibility",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Group-DIBASY-Eligibility",
        "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": "http://hl7.org/fhir/StructureDefinition/Group#cnl-2"
              }
            ],
            "severity": "error",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-2: 'Group.type SHALL be defined if Group.membership is either 'definitional' or 'enumerated' (Group.type.exists() or (Group.membership = 'conceptual'))' (defined in http://hl7.org/fhir/StructureDefinition/Group)"
            },
            "expression": [
              "Group/DIBASY-Eligibility: Group"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/clinical-study-protocol/OperationOutcome/Group-IGBJ-Eligibility",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Group-IGBJ-Eligibility",
        "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": "http://hl7.org/fhir/StructureDefinition/Group#cnl-2"
              }
            ],
            "severity": "error",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: cnl-2: 'Group.type SHALL be defined if Group.membership is either 'definitional' or 'enumerated' (Group.type.exists() or (Group.membership = 'conceptual'))' (defined in http://hl7.org/fhir/StructureDefinition/Group)"
            },
            "expression": [
              "Group/IGBJ-Eligibility: Group"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/clinical-study-protocol/OperationOutcome/Group-JPMA0001-Criteria-JPN",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Group-JPMA0001-Criteria-JPN",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 23
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'C16735' in the CodeSystem 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Group/JPMA0001-Criteria-JPN: Group.characteristic[0].timing[0].contextCode.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 81
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Display_Name_for__should_be_one_of__instead_of"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "Wrong Display Name 'Hemoglobin A1c/Hemoglobin.total in Blood' for http://loinc.org#59261-8. Valid display is one of 4 choices: 'Hemoglobin A1c/Hemoglobin.total standardized per IFCC-RMP for CDT in Blood' (en-US), 'Hemoglobin A1c/Hemoglobin.total standardized per IFCC-RMP for CDT in Blood' (en-US), 'HbA1c per IFCC-RMP for CDT SFr Bld' (en-US) or 'HbA1c/Total Hgb Standardized per IFCC-RMP for CDT, Blood' (en-US) (for the language(s) 'en')"
            },
            "expression": [
              "Group/JPMA0001-Criteria-JPN: Group.characteristic[1].code.coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 112
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'C16735' in the CodeSystem 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "Group/JPMA0001-Criteria-JPN: Group.characteristic[3].timing[0].contextCode.coding[0].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/clinical-study-protocol/OperationOutcome/MedicinalProductDefinition-IGBJ-MedicinalProduct",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicinalProductDefinition-IGBJ-MedicinalProduct",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'C218675' in the CodeSystem 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "MedicinalProductDefinition/IGBJ-MedicinalProduct: MedicinalProductDefinition.identifier[0].type.coding[0].code"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/clinical-study-protocol/OperationOutcome/Organization-IGBJ-Organization",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Organization-IGBJ-Organization"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/clinical-study-protocol/OperationOutcome/Organization-JPMA-Organization",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Organization-JPMA-Organization"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/clinical-study-protocol/OperationOutcome/ResearchStudy-IGBJ-ResearchStudy",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ResearchStudy-IGBJ-ResearchStudy",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 90
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'C217026' in the CodeSystem 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "ResearchStudy/IGBJ-ResearchStudy: ResearchStudy.extension[3].extension[0].value.ofType(CodeableConcept).coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 126
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Unknown_Code_in_Version"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "Unknown code 'AU-NSW' in the CodeSystem 'urn:iso:std:iso:3166' version '2018'"
            },
            "expression": [
              "ResearchStudy/IGBJ-ResearchStudy: ResearchStudy.extension[3].extension[3].value.ofType(CodeableConcept).coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 155
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 45
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'https://somelocation'"
            },
            "expression": [
              "ResearchStudy/IGBJ-ResearchStudy: ResearchStudy.extension[3].extension[7].value.ofType(url)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 165
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'C41065' in the CodeSystem 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "ResearchStudy/IGBJ-ResearchStudy: ResearchStudy.extension[3].extension[9].extension[0].value.ofType(CodeableConcept).coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 165
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_NoValid_1_CC"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "None of the codings provided are in the value set 'Study Amendment Scope Enrollment Value Set' (http://hl7.org/fhir/uv/clinical-study-protocol/ValueSet/m11-amendment-scope-enrollment-vs|1.0.1-ballot2), and a coding from this value set is required) (codes = http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl#C41065)"
            },
            "expression": [
              "ResearchStudy/IGBJ-ResearchStudy: ResearchStudy.extension[3].extension[9].extension[0].value.ofType(CodeableConcept)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 186
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'C68846' in the CodeSystem 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "ResearchStudy/IGBJ-ResearchStudy: ResearchStudy.extension[3].extension[10].extension[0].value.ofType(CodeableConcept).coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 186
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_NoValid_1_CC"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "None of the codings provided are in the value set 'Study Amendment Scope Enrollment Value Set' (http://hl7.org/fhir/uv/clinical-study-protocol/ValueSet/m11-amendment-scope-enrollment-vs|1.0.1-ballot2), and a coding from this value set is required) (codes = http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl#C68846)"
            },
            "expression": [
              "ResearchStudy/IGBJ-ResearchStudy: ResearchStudy.extension[3].extension[10].extension[0].value.ofType(CodeableConcept)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 205
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'C218490' in the CodeSystem 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "ResearchStudy/IGBJ-ResearchStudy: ResearchStudy.extension[3].extension[11].value.ofType(CodeableConcept).coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 217
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'C218494' in the CodeSystem 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "ResearchStudy/IGBJ-ResearchStudy: ResearchStudy.extension[3].extension[12].value.ofType(CodeableConcept).coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 233
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'C49488' in the CodeSystem 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "ResearchStudy/IGBJ-ResearchStudy: ResearchStudy.extension[3].extension[14].value.ofType(CodeableConcept).coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 233
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_NoValid_1_CC"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "None of the codings provided are in the value set 'CDISC Yes No Unknown Not Applicable Value Set' (http://hl7.org/fhir/uv/clinical-study-protocol/ValueSet/cdisc-yes-no-vs|1.0.1-ballot2), and a coding from this value set is required) (codes = http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl#C49488)"
            },
            "expression": [
              "ResearchStudy/IGBJ-ResearchStudy: ResearchStudy.extension[3].extension[14].value.ofType(CodeableConcept)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 275
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'C218515' in the CodeSystem 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "ResearchStudy/IGBJ-ResearchStudy: ResearchStudy.extension[3].extension[18].extension[2].value.ofType(CodeableConcept).coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 275
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_NoValid_1_CC"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "None of the codings provided are in the value set 'M11 Section Codes Value Set' (http://hl7.org/fhir/uv/clinical-study-protocol/ValueSet/m11-section-codes-vs|1.0.1-ballot2), and a coding from this value set is required) (codes = http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl#C218515)"
            },
            "expression": [
              "ResearchStudy/IGBJ-ResearchStudy: ResearchStudy.extension[3].extension[18].extension[2].value.ofType(CodeableConcept)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 300
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'C218550' in the CodeSystem 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "ResearchStudy/IGBJ-ResearchStudy: ResearchStudy.extension[3].extension[19].extension[2].value.ofType(CodeableConcept).coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 300
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_NoValid_1_CC"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "None of the codings provided are in the value set 'M11 Section Codes Value Set' (http://hl7.org/fhir/uv/clinical-study-protocol/ValueSet/m11-section-codes-vs|1.0.1-ballot2), and a coding from this value set is required) (codes = http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl#C218550)"
            },
            "expression": [
              "ResearchStudy/IGBJ-ResearchStudy: ResearchStudy.extension[3].extension[19].extension[2].value.ofType(CodeableConcept)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 333
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'C15602' in the CodeSystem 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "ResearchStudy/IGBJ-ResearchStudy: ResearchStudy.phase.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 333
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_NoValid_1_CC"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "None of the codings provided are in the value set 'M11 Phase Value Set' (http://hl7.org/fhir/uv/clinical-study-protocol/ValueSet/m11-phase-vs|1.0.1-ballot2), and a coding from this value set is required) (codes = http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl#C15602)"
            },
            "expression": [
              "ResearchStudy/IGBJ-ResearchStudy: ResearchStudy.phase"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/clinical-study-protocol/OperationOutcome/ResearchStudy-JPMA0001-eng",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ResearchStudy-JPMA0001-eng",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 34
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 270
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_String_WS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "value should not start or finish with whitespace '\\tA Multicenter, 52-week, Randomized, Parallel-Group Study to Evaluate the Safety and Efficacy of Co-administration of JPMA001 in Patients With Type 2 Diabetes Mellitus With Inadequate Glycemic Control Treated With Oral Hypoglycemic Drugs as a Single Agent'"
            },
            "expression": [
              "ResearchStudy/JPMA0001-eng: ResearchStudy.title"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 37
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'C15602' in the CodeSystem 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "ResearchStudy/JPMA0001-eng: ResearchStudy.phase.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 37
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_NoValid_1_CC"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "None of the codings provided are in the value set 'M11 Phase Value Set' (http://hl7.org/fhir/uv/clinical-study-protocol/ValueSet/m11-phase-vs|1.0.1-ballot2), and a coding from this value set is required) (codes = http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl#C15602)"
            },
            "expression": [
              "ResearchStudy/JPMA0001-eng: ResearchStudy.phase"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/clinical-study-protocol/OperationOutcome/ResearchStudy-JPMA0001-jpn",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ResearchStudy-JPMA0001-jpn",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 47
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 111
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_String_WS"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "value should not start or finish with whitespace '\\t経口血糖降下薬単剤による治療では血糖コントロール不十分な2型糖尿病患者を対象として,JPMA001を併用投与した時の安全性および有効性を検討する多施設共同,52週間,ランダム化,並行群間試験'"
            },
            "expression": [
              "ResearchStudy/JPMA0001-jpn: ResearchStudy.title"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 50
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODE_IN_FRAGMENT"
              }
            ],
            "severity": "warning",
            "code": "code-invalid",
            "details": {
              "text": "Unknown Code 'C15602' in the CodeSystem 'http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl' version '' - note that the code system is labeled as a fragment, so the code may be valid in some other fragment"
            },
            "expression": [
              "ResearchStudy/JPMA0001-jpn: ResearchStudy.phase.coding[0].code"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 50
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Terminology_TX_NoValid_1_CC"
              }
            ],
            "severity": "error",
            "code": "code-invalid",
            "details": {
              "text": "None of the codings provided are in the value set 'M11 Phase Value Set' (http://hl7.org/fhir/uv/clinical-study-protocol/ValueSet/m11-phase-vs|1.0.1-ballot2), and a coding from this value set is required) (codes = http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl#C15602)"
            },
            "expression": [
              "ResearchStudy/JPMA0001-jpn: ResearchStudy.phase"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/clinical-study-protocol/OperationOutcome/StructureDefinition-m11-amendment-detail",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-m11-amendment-detail",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_CONTEXT_SHOULD_NOT_BE_ELEMENT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "Review the extension type for m11-amendment-detail: extensions should not have a context of Element unless it's really intended that they can be used anywhere"
            },
            "expression": [
              "StructureDefinition/m11-amendment-detail: StructureDefinition.context[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/clinical-study-protocol/OperationOutcome/StructureDefinition-m11-amendment-scope-impact",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-m11-amendment-scope-impact",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_CONTEXT_SHOULD_NOT_BE_ELEMENT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "Review the extension type for m11-amendment-scope-impact: extensions should not have a context of Element unless it's really intended that they can be used anywhere"
            },
            "expression": [
              "StructureDefinition/m11-amendment-scope-impact: StructureDefinition.context[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/clinical-study-protocol/OperationOutcome/StructureDefinition-m11-confidentiality-statement",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-m11-confidentiality-statement",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The Implementation Guide contains no examples for this extension"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://hl7.org/fhir/uv/clinical-study-protocol/StructureDefinition/m11-confidentiality-statement')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/clinical-study-protocol/OperationOutcome/StructureDefinition-m11-protocol-amendment",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-m11-protocol-amendment"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/clinical-study-protocol/OperationOutcome/StructureDefinition-m11-research-study-narratives",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-m11-research-study-narratives",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28037
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/ElementDefinition#eld-31"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-31: 'additionalBindings should have a key (key.exists())' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/m11-research-study-narratives: StructureDefinition.snapshot.element[4].binding.additional[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/clinical-study-protocol/OperationOutcome/StructureDefinition-m11-research-study-profile",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-m11-research-study-profile",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 52114
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "http://hl7.org/fhir/StructureDefinition/ElementDefinition#eld-31"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-31: 'additionalBindings should have a key (key.exists())' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/m11-research-study-profile: StructureDefinition.snapshot.element[4].binding.additional[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/clinical-study-protocol/OperationOutcome/StructureDefinition-narrative-elements",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-narrative-elements"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/clinical-study-protocol/OperationOutcome/ValueSet-cdisc-yes-no-vs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-cdisc-yes-no-vs"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/clinical-study-protocol/OperationOutcome/ValueSet-ddf-study-title-type-vs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-ddf-study-title-type-vs"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/clinical-study-protocol/OperationOutcome/ValueSet-m11-amendment-scope-enrollment-vs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-m11-amendment-scope-enrollment-vs"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/clinical-study-protocol/OperationOutcome/ValueSet-m11-country-region-vs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-m11-country-region-vs"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/clinical-study-protocol/OperationOutcome/ValueSet-m11-identifier-type-vs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-m11-identifier-type-vs"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/clinical-study-protocol/OperationOutcome/ValueSet-m11-phase-vs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-m11-phase-vs"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/clinical-study-protocol/OperationOutcome/ValueSet-m11-section-codes-vs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-m11-section-codes-vs"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/clinical-study-protocol/OperationOutcome/ValueSet-m11-study-amendment-reason-vs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-m11-study-amendment-reason-vs"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/clinical-study-protocol/OperationOutcome/ValueSet-m11-study-amendment-scope-vs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-m11-study-amendment-scope-vs"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/clinical-study-protocol/OperationOutcome/ValueSet-narrative-elements-vs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-narrative-elements-vs"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/clinical-study-protocol/OperationOutcome/ValueSet-nci-study-role-vs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-nci-study-role-vs"
      }
    }
  ]
}