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Packagehl7.fhir.uv.howto
Resource TypeBundle
Idvalidation-oo.json
FHIR VersionR5

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Source1

{
  "resourceType": "Bundle",
  "type": "collection",
  "timestamp": "2026-02-01T03:13:53.780+00:00",
  "entry": [
    {
      "fullUrl": "http://hl7.org/fhir/uv/howto/OperationOutcome/ImplementationGuide-hl7.fhir.uv.howto",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ImplementationGuide-hl7.fhir.uv.howto",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16571
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_WG_NEEDED"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "When HL7 is publishing a resource, the owning committee must be stated using the http://hl7.org/fhir/StructureDefinition/structuredefinition-wg extension"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.uv.howto: ImplementationGuide"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16571
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "IG_HL7_STANDARDS_STATUS_REQUIRED"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "HL7 Implementation Guides must state their status explicitly using the extension http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.uv.howto: ImplementationGuide"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16571
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "IG_HL7_WG_REQUIRED"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "HL7 Implementation Guides must state their owning workgroup explicitly using the extension http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.uv.howto: ImplementationGuide"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16571
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "IG_HL7_FMM_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Implementation Guides should state their maturity explicitly using the extension http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"
            },
            "expression": [
              "ImplementationGuide/hl7.fhir.uv.howto: ImplementationGuide"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/howto/OperationOutcome/Patient-example",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Patient-example",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 8
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 178
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_PROFILE_UNKNOWN_NOT_POLICY"
              }
            ],
            "severity": "warning",
            "code": "structure",
            "details": {
              "text": "Profile reference 'http://example.org/fhir/uv/myig/StructureDefinition/mypatient' has not been checked because it could not be found, and the validator is set to not fetch unknown profiles"
            },
            "expression": [
              "Patient/example: Patient.meta.profile[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/howto/OperationOutcome/Bundle-sign-xml",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Bundle-sign-xml",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 35
              },
              {
                "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 'http://something1'"
            },
            "expression": [
              "Bundle/sign-xml: Bundle.identifier.system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 32
              },
              {
                "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 'http://something3'"
            },
            "expression": [
              "Bundle/sign-xml: Bundle.link[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_subject"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a subject"
            },
            "expression": [
              "Bundle/sign-xml: Bundle.entry[0].resource/*Observation/obs1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/sign-xml: Bundle.entry[0].resource/*Observation/obs1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/sign-xml: Bundle.entry[0].resource/*Observation/obs1*/"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/howto/OperationOutcome/Bundle-signed",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Bundle-signed",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 5
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 35
              },
              {
                "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 'http://something1'"
            },
            "expression": [
              "Bundle/signed: Bundle.identifier.system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 12
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 32
              },
              {
                "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 'http://something3'"
            },
            "expression": [
              "Bundle/signed: Bundle.link[0].url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "All_observations_should_have_a_subject"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "Best Practice Recommendation: In general, all observations should have a subject"
            },
            "expression": [
              "Bundle/signed: Bundle.entry[0].resource/*Observation/obs1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/signed: Bundle.entry[0].resource/*Observation/obs1*/"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 6
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "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/signed: Bundle.entry[0].resource/*Observation/obs1*/"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/howto/OperationOutcome/ConceptMap-map-logical-patient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ConceptMap-map-logical-patient",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 3773
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/uv/howto/StructureDefinition/test-patient-profile?codesystem'"
            },
            "expression": [
              "ConceptMap/map-logical-patient: 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": 3865
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "TYPE_SPECIFIC_CHECKS_DT_CANONICAL_RESOLVE"
              }
            ],
            "severity": "error",
            "code": "invalid",
            "details": {
              "text": "A definition could not be found for Canonical URL 'http://hl7.org/fhir/uv/howto/StructureDefinition/test-logical-patient?codesystem'"
            },
            "expression": [
              "ConceptMap/map-logical-patient: ConceptMap.group[0].target"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4513
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_WG_NEEDED"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "When HL7 is publishing a resource, the owning committee must be stated using the http://hl7.org/fhir/StructureDefinition/structuredefinition-wg extension"
            },
            "expression": [
              "ConceptMap/map-logical-patient: ConceptMap"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_SOURCE_UNKNOWN"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The Source Code System http://hl7.org/fhir/uv/howto/StructureDefinition/test-patient-profile?codesystem is not fully defined and populated, and no sourceScope is specified, so the source code checking will not be performed"
            },
            "expression": [
              "ConceptMap/map-logical-patient: 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": 4511
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_GROUP_TARGET_UNKNOWN"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "The Target Code System http://hl7.org/fhir/uv/howto/StructureDefinition/test-logical-patient?codesystem is not fully defined and populated, and no targetScope is specified, so the target code checking will not be performed"
            },
            "expression": [
              "ConceptMap/map-logical-patient: ConceptMap.group[0].target"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4513
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Concept maps published by HL7 SHALL conform to the ShareableConceptMap profile, which says that the element ConceptMap.title is mandatory, but it is not present"
            },
            "expression": [
              "ConceptMap/map-logical-patient: ConceptMap"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4513
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Concept maps published by HL7 SHALL conform to the ShareableConceptMap profile, which says that the element ConceptMap.experimental is mandatory, but it is not present"
            },
            "expression": [
              "ConceptMap/map-logical-patient: ConceptMap"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4513
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CONCEPTMAP_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Concept maps published by HL7 SHALL conform to the ShareableConceptMap profile, which says that the element ConceptMap.description is mandatory, but it is not present"
            },
            "expression": [
              "ConceptMap/map-logical-patient: ConceptMap"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "Publisher"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "URL Mismatch http://hl7.org/fhir/uv/howto/ConceptMap/map-logical-patient vs http://hl7.org/fhir/uv/howto/StructureDefinition/map-logical-patient"
            },
            "expression": [
              "/scratch/repo/input/resources/map_logical_patient"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/howto/OperationOutcome/StructureDefinition-test-logical-patient",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-test-logical-patient",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14923
              },
              {
                "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": "error",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://hl7.org/fhir/uv/howto/StructureDefinition/Person'"
            },
            "expression": [
              "StructureDefinition/test-logical-patient: StructureDefinition.type"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 17626
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_WG_NEEDED"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "When HL7 is publishing a resource, the owning committee must be stated using the http://hl7.org/fhir/StructureDefinition/structuredefinition-wg extension"
            },
            "expression": [
              "StructureDefinition/test-logical-patient: StructureDefinition"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/howto/OperationOutcome/StructureDefinition-test-patient-profile",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-test-patient-profile",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 55182
              },
              {
                "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-24"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x] (fixed.exists().not())' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/test-patient-profile: StructureDefinition.snapshot.element[10]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 91171
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantResolve"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to resolve resource with reference 'Organization/1'"
            },
            "expression": [
              "StructureDefinition/test-patient-profile: StructureDefinition.snapshot.element[38].fixed.ofType(Reference)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 91554
              },
              {
                "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-24"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x] (fixed.exists().not())' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/test-patient-profile: StructureDefinition.snapshot.element[38]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 99840
              },
              {
                "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-24"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x] (fixed.exists().not())' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/test-patient-profile: StructureDefinition.differential.element[2]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 100904
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantResolve"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to resolve resource with reference 'Organization/1'"
            },
            "expression": [
              "StructureDefinition/test-patient-profile: StructureDefinition.differential.element[15].fixed.ofType(Reference)"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 100905
              },
              {
                "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-24"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: eld-24: 'pattern[x] should be used rather than fixed[x] (fixed.exists().not())' (defined in http://hl7.org/fhir/StructureDefinition/ElementDefinition) (Best Practice Recommendation)"
            },
            "expression": [
              "StructureDefinition/test-patient-profile: StructureDefinition.differential.element[15]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 100962
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_HL7_WG_NEEDED"
              }
            ],
            "severity": "error",
            "code": "business-rule",
            "details": {
              "text": "When HL7 is publishing a resource, the owning committee must be stated using the http://hl7.org/fhir/StructureDefinition/structuredefinition-wg extension"
            },
            "expression": [
              "StructureDefinition/test-patient-profile: StructureDefinition"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "SD_VALUE_COMPLEX_FIXED"
              }
            ],
            "severity": "warning",
            "code": "exception",
            "details": {
              "text": "For the complex type Reference, consider using a pattern rather than a fixed value to avoid over-constraining the instance"
            },
            "expression": [
              "StructureDefinition/test-patient-profile: StructureDefinition.snapshot.element[38].fixed.ofType(Reference)"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/howto/OperationOutcome/Encounter-1",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Encounter-1"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/howto/OperationOutcome/Encounter-2",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Encounter-2"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/howto/OperationOutcome/Encounter-3",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Encounter-3"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/howto/OperationOutcome/Encounter-4",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Encounter-4"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/howto/OperationOutcome/MedicationStatement-640906a5-7215-4aa4-b4c8-095284caf52c",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationStatement-640906a5-7215-4aa4-b4c8-095284caf52c",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantResolve"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to resolve resource with reference 'Encounter/1d99510e-714e-4a04-8f6c-34e0babd655f'"
            },
            "expression": [
              "MedicationStatement/640906a5-7215-4aa4-b4c8-095284caf52c: MedicationStatement.encounter"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/howto/OperationOutcome/MedicationStatement-e6bb7afa-1e76-461d-8dbd-cd9ad8df7739",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationStatement-e6bb7afa-1e76-461d-8dbd-cd9ad8df7739",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantResolve"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to resolve resource with reference 'Encounter/2f429aff-3b06-43ea-a057-00d22b09cc0f'"
            },
            "expression": [
              "MedicationStatement/e6bb7afa-1e76-461d-8dbd-cd9ad8df7739: MedicationStatement.encounter"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/howto/OperationOutcome/MedicationStatement-15353a6e-229e-4b99-9b0c-a5a6da063e64",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "MedicationStatement-15353a6e-229e-4b99-9b0c-a5a6da063e64",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 16
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantResolve"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to resolve resource with reference 'Encounter/1f3f0584-0c5d-4f37-8c1f-cbc934731fff'"
            },
            "expression": [
              "MedicationStatement/15353a6e-229e-4b99-9b0c-a5a6da063e64: MedicationStatement.encounter"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/howto/OperationOutcome/Observation-7a8f6e66-65e7-4e08-9f23-c000e72d063a",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-7a8f6e66-65e7-4e08-9f23-c000e72d063a",
        "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/7a8f6e66-65e7-4e08-9f23-c000e72d063a: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/howto/OperationOutcome/Observation-9959816c-2b22-4c96-934a-d56f070c2460",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-9959816c-2b22-4c96-934a-d56f070c2460",
        "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/9959816c-2b22-4c96-934a-d56f070c2460: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/howto/OperationOutcome/Observation-89e03975-4e00-4a18-8cc8-e29a8fd77ddc",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-89e03975-4e00-4a18-8cc8-e29a8fd77ddc",
        "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/89e03975-4e00-4a18-8cc8-e29a8fd77ddc: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/howto/OperationOutcome/Observation-c27ac173-3394-42cb-b749-5612f8e58be0",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-c27ac173-3394-42cb-b749-5612f8e58be0",
        "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/c27ac173-3394-42cb-b749-5612f8e58be0: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/howto/OperationOutcome/Observation-fd25d0bf-4879-4dd1-bc5a-6621d9fd9d50",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-fd25d0bf-4879-4dd1-bc5a-6621d9fd9d50",
        "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/fd25d0bf-4879-4dd1-bc5a-6621d9fd9d50: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/howto/OperationOutcome/Observation-bb099fa5-2a0c-47bf-8f7b-caef3375f1aa",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-bb099fa5-2a0c-47bf-8f7b-caef3375f1aa",
        "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/bb099fa5-2a0c-47bf-8f7b-caef3375f1aa: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/howto/OperationOutcome/Observation-3502562f-005c-4bd2-95d2-0197b18d7eb5",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-3502562f-005c-4bd2-95d2-0197b18d7eb5",
        "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/3502562f-005c-4bd2-95d2-0197b18d7eb5: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/howto/OperationOutcome/Observation-c5a22c66-2f24-4036-abc6-8277749c3d8f",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Observation-c5a22c66-2f24-4036-abc6-8277749c3d8f",
        "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/c5a22c66-2f24-4036-abc6-8277749c3d8f: Observation"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/howto/OperationOutcome/Patient-47234",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Patient-47234",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 30
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantResolve"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to resolve resource with reference 'Organization/1'"
            },
            "expression": [
              "Patient/47234: Patient.managingOrganization"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/howto/OperationOutcome/Patient-689272",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Patient-689272",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantResolve"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to resolve resource with reference 'Organization/1'"
            },
            "expression": [
              "Patient/689272: Patient.managingOrganization"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/howto/OperationOutcome/Patient-2451",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Patient-2451",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 29
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantResolve"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to resolve resource with reference 'Organization/1'"
            },
            "expression": [
              "Patient/2451: Patient.managingOrganization"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/howto/OperationOutcome/Patient-562",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Patient-562",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 30
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Reference_REF_CantResolve"
              }
            ],
            "severity": "error",
            "code": "structure",
            "details": {
              "text": "Unable to resolve resource with reference 'Organization/1'"
            },
            "expression": [
              "Patient/562: Patient.managingOrganization"
            ]
          }
        ]
      }
    }
  ]
}