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Packagehl7.fhir.uv.termchangeset
Resource TypeBundle
Idvalidation-oo.json
FHIR VersionR4

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Source1

{
  "resourceType": "Bundle",
  "type": "collection",
  "timestamp": "2025-10-10T20:46:22.487+00:00",
  "entry": [
    {
      "fullUrl": "http://hl7.org/fhir/uv/termchangeset/OperationOutcome/ImplementationGuide-hl7.fhir.uv.termchangeset",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ImplementationGuide-hl7.fhir.uv.termchangeset"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/termchangeset/OperationOutcome/CodeSystem-HL7VariableRoleChangeSet",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-HL7VariableRoleChangeSet",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/HL7VariableRoleChangeSet: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 4376
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/HL7VariableRoleChangeSet: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/termchangeset/OperationOutcome/CodeSystem-codesystem-properties-cs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-codesystem-properties-cs",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42969
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_STATUS_INCONSISTENT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The resource status 'active' and the standards status 'draft' are not consistent"
            },
            "expression": [
              "CodeSystem/codesystem-properties-cs: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/codesystem-properties-cs: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42969
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.experimental is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/codesystem-properties-cs: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42969
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/codesystem-properties-cs: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 42969
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/codesystem-properties-cs: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/termchangeset/OperationOutcome/CodeSystem-loinc277attachmentsChangeSet",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-loinc277attachmentsChangeSet",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9563
              },
              {
                "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://loinc.org/property/STATUS'"
            },
            "expression": [
              "CodeSystem/loinc277attachmentsChangeSet: CodeSystem.property[0].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9807
              },
              {
                "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://loinc.org/property/COMPONENT'"
            },
            "expression": [
              "CodeSystem/loinc277attachmentsChangeSet: CodeSystem.property[1].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 9984
              },
              {
                "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://loinc.org/property/PROPERTY'"
            },
            "expression": [
              "CodeSystem/loinc277attachmentsChangeSet: CodeSystem.property[2].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10168
              },
              {
                "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://loinc.org/property/TIME_ASPCT'"
            },
            "expression": [
              "CodeSystem/loinc277attachmentsChangeSet: CodeSystem.property[3].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10359
              },
              {
                "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://loinc.org/property/SYSTEM'"
            },
            "expression": [
              "CodeSystem/loinc277attachmentsChangeSet: CodeSystem.property[4].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10523
              },
              {
                "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://loinc.org/property/SCALE_TYP'"
            },
            "expression": [
              "CodeSystem/loinc277attachmentsChangeSet: CodeSystem.property[5].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10675
              },
              {
                "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://loinc.org/property/METHOD_TYP'"
            },
            "expression": [
              "CodeSystem/loinc277attachmentsChangeSet: CodeSystem.property[6].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 10819
              },
              {
                "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://loinc.org/property/CLASS'"
            },
            "expression": [
              "CodeSystem/loinc277attachmentsChangeSet: CodeSystem.property[7].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11014
              },
              {
                "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://loinc.org/property/VersionLastChanged'"
            },
            "expression": [
              "CodeSystem/loinc277attachmentsChangeSet: CodeSystem.property[8].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11264
              },
              {
                "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://loinc.org/property/CLASSTYPE'"
            },
            "expression": [
              "CodeSystem/loinc277attachmentsChangeSet: CodeSystem.property[9].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11431
              },
              {
                "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://loinc.org/property/ORDER_OBS'"
            },
            "expression": [
              "CodeSystem/loinc277attachmentsChangeSet: CodeSystem.property[10].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 11681
              },
              {
                "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://loinc.org/property/HL7_ATTACHMENT_STRUCTURE'"
            },
            "expression": [
              "CodeSystem/loinc277attachmentsChangeSet: CodeSystem.property[11].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12039
              },
              {
                "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://loinc.org/property/VersionFirstReleased'"
            },
            "expression": [
              "CodeSystem/loinc277attachmentsChangeSet: CodeSystem.property[12].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 12247
              },
              {
                "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://loinc.org/property/ValidHL7AttachmentRequest'"
            },
            "expression": [
              "CodeSystem/loinc277attachmentsChangeSet: CodeSystem.property[13].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15883
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Published code systems SHOULD conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/loinc277attachmentsChangeSet: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/termchangeset/OperationOutcome/CodeSystem-snomedct126785002ChangeSet",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-snomedct126785002ChangeSet",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14315
              },
              {
                "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://snomed.info/field/Concept.active'"
            },
            "expression": [
              "CodeSystem/snomedct126785002ChangeSet: CodeSystem.property[0].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14520
              },
              {
                "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://snomed.info/field/Concept.definitionStatusId'"
            },
            "expression": [
              "CodeSystem/snomedct126785002ChangeSet: CodeSystem.property[1].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 14659
              },
              {
                "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://.........?'"
            },
            "expression": [
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            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://snomed.info/id/408732007'"
            },
            "expression": [
              "CodeSystem/snomedct126785002ChangeSet: CodeSystem.property[55].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19344
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://snomed.info/id/410675002'"
            },
            "expression": [
              "CodeSystem/snomedct126785002ChangeSet: CodeSystem.property[56].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19425
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://snomed.info/id/411116001'"
            },
            "expression": [
              "CodeSystem/snomedct126785002ChangeSet: CodeSystem.property[57].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19507
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://snomed.info/id/418775008'"
            },
            "expression": [
              "CodeSystem/snomedct126785002ChangeSet: CodeSystem.property[58].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19591
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://snomed.info/id/419066007'"
            },
            "expression": [
              "CodeSystem/snomedct126785002ChangeSet: CodeSystem.property[59].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19671
              },
              {
                "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://snomed.info/id/424226004'"
            },
            "expression": [
              "CodeSystem/snomedct126785002ChangeSet: CodeSystem.property[60].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19751
              },
              {
                "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://snomed.info/id/424244007'"
            },
            "expression": [
              "CodeSystem/snomedct126785002ChangeSet: CodeSystem.property[61].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19834
              },
              {
                "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://snomed.info/id/424361007'"
            },
            "expression": [
              "CodeSystem/snomedct126785002ChangeSet: CodeSystem.property[62].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19919
              },
              {
                "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://snomed.info/id/424876005'"
            },
            "expression": [
              "CodeSystem/snomedct126785002ChangeSet: CodeSystem.property[63].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20006
              },
              {
                "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://snomed.info/id/425391005'"
            },
            "expression": [
              "CodeSystem/snomedct126785002ChangeSet: CodeSystem.property[64].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20087
              },
              {
                "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://snomed.info/id/704318007'"
            },
            "expression": [
              "CodeSystem/snomedct126785002ChangeSet: CodeSystem.property[65].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20165
              },
              {
                "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://snomed.info/id/704319004'"
            },
            "expression": [
              "CodeSystem/snomedct126785002ChangeSet: CodeSystem.property[66].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20240
              },
              {
                "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://snomed.info/id/704320005'"
            },
            "expression": [
              "CodeSystem/snomedct126785002ChangeSet: CodeSystem.property[67].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20321
              },
              {
                "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://snomed.info/id/704321009'"
            },
            "expression": [
              "CodeSystem/snomedct126785002ChangeSet: CodeSystem.property[68].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20402
              },
              {
                "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://snomed.info/id/704322002'"
            },
            "expression": [
              "CodeSystem/snomedct126785002ChangeSet: CodeSystem.property[69].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20486
              },
              {
                "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://snomed.info/id/704323007'"
            },
            "expression": [
              "CodeSystem/snomedct126785002ChangeSet: CodeSystem.property[70].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20568
              },
              {
                "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://snomed.info/id/704324001'"
            },
            "expression": [
              "CodeSystem/snomedct126785002ChangeSet: CodeSystem.property[71].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20647
              },
              {
                "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://snomed.info/id/704325000'"
            },
            "expression": [
              "CodeSystem/snomedct126785002ChangeSet: CodeSystem.property[72].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20727
              },
              {
                "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://snomed.info/id/704326004'"
            },
            "expression": [
              "CodeSystem/snomedct126785002ChangeSet: CodeSystem.property[73].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20806
              },
              {
                "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://snomed.info/id/704327008'"
            },
            "expression": [
              "CodeSystem/snomedct126785002ChangeSet: CodeSystem.property[74].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20886
              },
              {
                "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://snomed.info/id/704346009'"
            },
            "expression": [
              "CodeSystem/snomedct126785002ChangeSet: CodeSystem.property[75].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 20962
              },
              {
                "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://snomed.info/id/704347000'"
            },
            "expression": [
              "CodeSystem/snomedct126785002ChangeSet: CodeSystem.property[76].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21038
              },
              {
                "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://snomed.info/id/704647008'"
            },
            "expression": [
              "CodeSystem/snomedct126785002ChangeSet: CodeSystem.property[77].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 21122
              },
              {
                "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://snomed.info/id/900000000000073002'"
            },
            "expression": [
              "CodeSystem/snomedct126785002ChangeSet: CodeSystem.property[78].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 28276
              },
              {
                "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 'Not Acceptable (foundation metadata concept)' for http://snomed.info/sct#900000000000548007. Valid display is one of 2 choices: 'Preferred (foundation metadata concept)' (en) or 'Preferred' (en) (for the language(s) 'en')"
            },
            "expression": [
              "CodeSystem/snomedct126785002ChangeSet: CodeSystem.concept[0].designation[5].extension[1].value.ofType(CodeableConcept).coding[0].display"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31336
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Published code systems SHOULD conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/snomedct126785002ChangeSet: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 31336
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_PROPERTY_UNDEFINED"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The property 'Is a' has no definition in CodeSystem.property. Many terminology tools won't know what to do with it"
            },
            "expression": [
              "CodeSystem/snomedct126785002ChangeSet: CodeSystem.concept[0].property[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/termchangeset/OperationOutcome/CodeSystem-snomedct413839001ChangeSet",
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        "resourceType": "OperationOutcome",
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                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://snomed.info/field/Concept.active'"
            },
            "expression": [
              "CodeSystem/snomedct413839001ChangeSet: CodeSystem.property[0].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "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://snomed.info/field/Concept.definitionStatusId'"
            },
            "expression": [
              "CodeSystem/snomedct413839001ChangeSet: CodeSystem.property[1].uri"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://.........?'"
            },
            "expression": [
              "CodeSystem/snomedct413839001ChangeSet: CodeSystem.property[2].uri"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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://snomed.info/field/Concept.moduleId'"
            },
            "expression": [
              "CodeSystem/snomedct413839001ChangeSet: CodeSystem.property[3].uri"
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          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "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://snomed.info/id/42752001'"
            },
            "expression": [
              "CodeSystem/snomedct413839001ChangeSet: CodeSystem.property[4].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://snomed.info/id/47429007'"
            },
            "expression": [
              "CodeSystem/snomedct413839001ChangeSet: CodeSystem.property[5].uri"
            ]
          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://snomed.info/id/116676008'"
            },
            "expression": [
              "CodeSystem/snomedct413839001ChangeSet: CodeSystem.property[6].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15276
              },
              {
                "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://snomed.info/id/116686009'"
            },
            "expression": [
              "CodeSystem/snomedct413839001ChangeSet: CodeSystem.property[7].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://snomed.info/id/118168003'"
            },
            "expression": [
              "CodeSystem/snomedct413839001ChangeSet: CodeSystem.property[8].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 15464
              },
              {
                "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://snomed.info/id/118169006'"
            },
            "expression": [
              "CodeSystem/snomedct413839001ChangeSet: CodeSystem.property[9].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://snomed.info/id/118170007'"
            },
            "expression": [
              "CodeSystem/snomedct413839001ChangeSet: CodeSystem.property[10].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "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://snomed.info/id/118171006'"
            },
            "expression": [
              "CodeSystem/snomedct413839001ChangeSet: CodeSystem.property[11].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://snomed.info/id/123005000'"
            },
            "expression": [
              "CodeSystem/snomedct413839001ChangeSet: CodeSystem.property[12].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://snomed.info/id/127489000'"
            },
            "expression": [
              "CodeSystem/snomedct413839001ChangeSet: CodeSystem.property[13].uri"
            ]
          },
          {
            "extension": [
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://snomed.info/id/131195008'"
            },
            "expression": [
              "CodeSystem/snomedct413839001ChangeSet: CodeSystem.property[14].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "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://snomed.info/id/246075003'"
            },
            "expression": [
              "CodeSystem/snomedct413839001ChangeSet: CodeSystem.property[15].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16065
              },
              {
                "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://snomed.info/id/246090004'"
            },
            "expression": [
              "CodeSystem/snomedct413839001ChangeSet: CodeSystem.property[16].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
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            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://snomed.info/id/246093002'"
            },
            "expression": [
              "CodeSystem/snomedct413839001ChangeSet: CodeSystem.property[17].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://snomed.info/id/246112005'"
            },
            "expression": [
              "CodeSystem/snomedct413839001ChangeSet: CodeSystem.property[18].uri"
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          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://snomed.info/id/246454002'"
            },
            "expression": [
              "CodeSystem/snomedct413839001ChangeSet: CodeSystem.property[19].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://snomed.info/id/246456000'"
            },
            "expression": [
              "CodeSystem/snomedct413839001ChangeSet: CodeSystem.property[20].uri"
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          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
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              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
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              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "Type_Specific_Checks_DT_URL_Resolve"
              }
            ],
            "severity": "warning",
            "code": "invalid",
            "details": {
              "text": "No definition could be found for URL value 'http://snomed.info/id/246501002'"
            },
            "expression": [
              "CodeSystem/snomedct413839001ChangeSet: CodeSystem.property[21].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16535
              },
              {
                "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://snomed.info/id/246513007'"
            },
            "expression": [
              "CodeSystem/snomedct413839001ChangeSet: CodeSystem.property[22].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16608
              },
              {
                "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://snomed.info/id/246514001'"
            },
            "expression": [
              "CodeSystem/snomedct413839001ChangeSet: CodeSystem.property[23].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16681
              },
              {
                "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://snomed.info/id/255234002'"
            },
            "expression": [
              "CodeSystem/snomedct413839001ChangeSet: CodeSystem.property[24].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 16755
              },
              {
                "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",
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              },
              {
                "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://snomed.info/id/900000000000073002'"
            },
            "expression": [
              "CodeSystem/snomedct413839001ChangeSet: CodeSystem.property[78].uri"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 26456
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING"
              }
            ],
            "severity": "warning",
            "code": "required",
            "details": {
              "text": "Published code systems SHOULD conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/snomedct413839001ChangeSet: CodeSystem"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/termchangeset/OperationOutcome/CodeSystem-update-methods-cs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "CodeSystem-update-methods-cs",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2266
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_STATUS_INCONSISTENT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The resource status 'active' and the standards status 'draft' are not consistent"
            },
            "expression": [
              "CodeSystem/update-methods-cs: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CS_HL7_MISSING_ELEMENT_SHOULD"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems SHOULD have a stated value for the caseSensitive element so that users know the status and meaning of the code system clearly"
            },
            "expression": [
              "CodeSystem/update-methods-cs: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2266
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.experimental is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/update-methods-cs: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2266
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Code systems published by HL7 SHALL conform to the ShareableCodeSystem profile, which says that the element CodeSystem.caseSensitive is mandatory, but it is not present"
            },
            "expression": [
              "CodeSystem/update-methods-cs: CodeSystem"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2266
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "CODESYSTEM_CONCEPT_NO_DEFINITION"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "HL7 Defined CodeSystems should ensure that every concept has a definition"
            },
            "expression": [
              "CodeSystem/update-methods-cs: CodeSystem.concept[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/termchangeset/OperationOutcome/Provenance-053f26d4-b805-4ff2-8c42-866459d5f1f4",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Provenance-053f26d4-b805-4ff2-8c42-866459d5f1f4"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/termchangeset/OperationOutcome/Provenance-52b1a1d2-80ab-460b-b5fc-341edd35b032",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Provenance-52b1a1d2-80ab-460b-b5fc-341edd35b032"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/termchangeset/OperationOutcome/Provenance-7e4f317e-8c13-46ba-b79a-9913da2afa2c",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "Provenance-7e4f317e-8c13-46ba-b79a-9913da2afa2c"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/termchangeset/OperationOutcome/StructureDefinition-change-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-change-type",
        "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 change-type: extensions should not have a context of Element unless it's really intended that they can be used anywhere"
            },
            "expression": [
              "StructureDefinition/change-type: StructureDefinition.context[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/termchangeset/OperationOutcome/StructureDefinition-changeset-terminologycapabilities-profile",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-changeset-terminologycapabilities-profile",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18374
              },
              {
                "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 ' not(f:kind/@value='instance') or (not(exists(f:implementation)) and exists(f:software))'"
            },
            "expression": [
              "StructureDefinition/changeset-terminologycapabilities-profile: StructureDefinition.snapshot.element[0].constraint[8].xpath"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/termchangeset/OperationOutcome/StructureDefinition-codesystem-change-set-provenance",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-codesystem-change-set-provenance"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/termchangeset/OperationOutcome/StructureDefinition-codesystem-change-set",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-codesystem-change-set"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/termchangeset/OperationOutcome/StructureDefinition-defining-relationship-type",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-defining-relationship-type"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/termchangeset/OperationOutcome/StructureDefinition-designation-acceptability",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-designation-acceptability"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/termchangeset/OperationOutcome/StructureDefinition-designation-case-sensitivity",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-designation-case-sensitivity"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/termchangeset/OperationOutcome/StructureDefinition-designation-dialect",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-designation-dialect"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/termchangeset/OperationOutcome/StructureDefinition-designation-status",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-designation-status"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/termchangeset/OperationOutcome/StructureDefinition-el-profile-set-operator",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-el-profile-set-operator"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/termchangeset/OperationOutcome/StructureDefinition-extends-codesystem",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-extends-codesystem",
        "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/termchangeset/StructureDefinition/extends-codesystem')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/termchangeset/OperationOutcome/StructureDefinition-loinc-changeset-profile--fhir46709",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-loinc-changeset-profile--fhir46709",
        "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 profile"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://hl7.org/fhir/uv/termchangeset/StructureDefinition/loinc-changeset-profile--fhir46709')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/termchangeset/OperationOutcome/StructureDefinition-loinc-changeset-profile",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-loinc-changeset-profile"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/termchangeset/OperationOutcome/StructureDefinition-owl-expression",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-owl-expression"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/termchangeset/OperationOutcome/StructureDefinition-role-group",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-role-group"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/termchangeset/OperationOutcome/StructureDefinition-snomed-changeset-profile-fhir46709",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-snomed-changeset-profile-fhir46709",
        "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 profile"
            },
            "expression": [
              "StructureDefinition.where(url = 'http://hl7.org/fhir/uv/termchangeset/StructureDefinition/snomed-changeset-profile-fhir46709')"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/termchangeset/OperationOutcome/StructureDefinition-snomed-changeset-profile",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-snomed-changeset-profile"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/termchangeset/OperationOutcome/StructureDefinition-update-methods",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "StructureDefinition-update-methods",
        "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 update-methods: extensions should not have a context of Element unless it's really intended that they can be used anywhere"
            },
            "expression": [
              "StructureDefinition/update-methods: StructureDefinition.context[0]"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/termchangeset/OperationOutcome/TerminologyCapabilities-ChangeSetTerminologyCapabilitiesExample",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "TerminologyCapabilities-ChangeSetTerminologyCapabilitiesExample",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 470
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "UNKNOWN_CODESYSTEM"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://hl7.org/fhir/uv/termchangeset/CodeSystem/update-methods-codesystem' could not be found, so the code cannot be validated"
            },
            "expression": [
              "TerminologyCapabilities/ChangeSetTerminologyCapabilitiesExample: TerminologyCapabilities.extension[0].value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 425
              },
              {
                "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/termchangeset/CodeSystem/update-methods-codesystem'"
            },
            "expression": [
              "TerminologyCapabilities/ChangeSetTerminologyCapabilitiesExample: TerminologyCapabilities.extension[0].value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 725
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "TerminologyEngine"
              }
            ],
            "severity": "warning",
            "code": "not-found",
            "details": {
              "text": "A definition for CodeSystem 'http://hl7.org/fhir/uv/termchangeset/CodeSystem/update-methods-codesystem' could not be found, so the code cannot be validated"
            },
            "expression": [
              "TerminologyCapabilities/ChangeSetTerminologyCapabilitiesExample: TerminologyCapabilities.extension[1].value.ofType(CodeableConcept).coding[0]"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 672
              },
              {
                "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/termchangeset/CodeSystem/update-methods-codesystem'"
            },
            "expression": [
              "TerminologyCapabilities/ChangeSetTerminologyCapabilitiesExample: TerminologyCapabilities.extension[1].value.ofType(CodeableConcept).coding[0].system"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 1373
              },
              {
                "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://tx.fhir.org/r4/'"
            },
            "expression": [
              "TerminologyCapabilities/ChangeSetTerminologyCapabilitiesExample: TerminologyCapabilities.implementation.url"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2868
              },
              {
                "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/TerminologyCapabilities#tcp-0"
              }
            ],
            "severity": "warning",
            "code": "invariant",
            "details": {
              "text": "Constraint failed: tcp-0: 'Name should be usable as an identifier for the module by machine processing applications such as code generation' (defined in http://hl7.org/fhir/StructureDefinition/TerminologyCapabilities)"
            },
            "expression": [
              "TerminologyCapabilities/ChangeSetTerminologyCapabilitiesExample: TerminologyCapabilities"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/termchangeset/OperationOutcome/ValueSet-case-significance-vs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-case-significance-vs"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/termchangeset/OperationOutcome/ValueSet-changetype-vs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-changetype-vs"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/termchangeset/OperationOutcome/ValueSet-codesystem-property-valueset",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-codesystem-property-valueset",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2101
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_STATUS_INCONSISTENT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The resource status 'active' and the standards status 'draft' are not consistent"
            },
            "expression": [
              "ValueSet/codesystem-property-valueset: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2101
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Value sets published by HL7 SHALL conform to the ShareableValueSet profile, which says that the element ValueSet.experimental is mandatory, but it is not present"
            },
            "expression": [
              "ValueSet/codesystem-property-valueset: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/termchangeset/OperationOutcome/ValueSet-defining-relationship-type-vs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-defining-relationship-type-vs"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/termchangeset/OperationOutcome/ValueSet-designation-acceptability-vs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-designation-acceptability-vs"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/termchangeset/OperationOutcome/ValueSet-dialect-vs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-dialect-vs"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/termchangeset/OperationOutcome/ValueSet-el-profile-set-operator-vs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-el-profile-set-operator-vs"
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/termchangeset/OperationOutcome/ValueSet-loinc-property-vs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-loinc-property-vs",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 19698
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Value sets published by HL7 SHALL conform to the ShareableValueSet profile, which says that the element ValueSet.experimental is mandatory, but it is not present"
            },
            "expression": [
              "ValueSet/loinc-property-vs: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/termchangeset/OperationOutcome/ValueSet-snomed-property-vs",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-snomed-property-vs",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 18707
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Value sets published by HL7 SHALL conform to the ShareableValueSet profile, which says that the element ValueSet.experimental is mandatory, but it is not present"
            },
            "expression": [
              "ValueSet/snomed-property-vs: ValueSet"
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "http://hl7.org/fhir/uv/termchangeset/OperationOutcome/ValueSet-update-methods-valueset",
      "resource": {
        "resourceType": "OperationOutcome",
        "id": "ValueSet-update-methods-valueset",
        "issue": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2080
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALIDATION_VAL_STATUS_INCONSISTENT"
              }
            ],
            "severity": "warning",
            "code": "business-rule",
            "details": {
              "text": "The resource status 'active' and the standards status 'draft' are not consistent"
            },
            "expression": [
              "ValueSet/update-methods-valueset: ValueSet"
            ]
          },
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-line",
                "valueInteger": 1
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-col",
                "valueInteger": 2080
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-issue-source",
                "valueString": "InstanceValidator"
              },
              {
                "url": "http://hl7.org/fhir/StructureDefinition/operationoutcome-message-id",
                "valueCode": "VALUESET_SHAREABLE_MISSING_HL7"
              }
            ],
            "severity": "error",
            "code": "required",
            "details": {
              "text": "Value sets published by HL7 SHALL conform to the ShareableValueSet profile, which says that the element ValueSet.experimental is mandatory, but it is not present"
            },
            "expression": [
              "ValueSet/update-methods-valueset: ValueSet"
            ]
          }
        ]
      }
    }
  ]
}